SURGICAL TREATMENT OF DEFORMING FIRST METATARSOPHALANGEAL FOOT ARTICULATION OSTEOARTHROSIS
A E Tokarev , V G Kozyukov , Ya V Nenakhova
Perm Medical Journal ›› 2014, Vol. 31 ›› Issue (6) : 59 -62.
SURGICAL TREATMENT OF DEFORMING FIRST METATARSOPHALANGEAL FOOT ARTICULATION OSTEOARTHROSIS
Aim. To optimize the surgical tactics for treatment of patients with deforming osteoarthrosis of the first metatarsophalangeal articulation of the foot depending on the stage of disease. Materials and methods. Long-term results of treatment of the first metatarsophalangeal articulation osteoarthrosis were analyzed in 50 patients depending on the character of pathology and stage of disease. Clinical and roengenological study, biomechanical and statistical methods were used in diagnosis and management. Differentiated surgical tactics for treatment was developed, a new technical solution was offered. Outcomes of surgical treatment were followed up in 36 (72,2 %) patients. Good results were reached in 31 (86,1 %) patients, satisfactory - in 5 (13,9%) patients. Conclusions. Differentiated approach to treatment of osteoarthrosis of the first metatarsophalangeal articulation of the foot in most cases gives positive results and depends on choice of optimal method in each concrete case taking into account the degree and severity of deformation.
Foot toes / osteoarthrosis / surgical treatment
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Tokarev A.E., Kozyukov V.G., Nenakhova Y.V.
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