Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 11

Comparison of Three Treatment Modalities for Hallux Valgus Surgery Using Xray and Functional Scoring Methods

Khairutdinov Ruslan Faritovich1, Minasov Timur Bulatovich2, Yakupova Ekaterina Rishatovna2*, Glazunov Stanislav Yurievich2 and Nigamedzyanov Iskander Emirovich2

1Department of Traumatology and Orthopedics, Chelyabinsk, Russia
2Department of Traumatology and Orthopedics, Bashkir State Medical University, Russia

*Corresponding Author: Yakupova Ekaterina Rishatovna, Department of Traumatology and Orthopedics, Bashkir State Medical University, Russia.

Received: September 14, 2021; Published: October 11, 2021

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Abstract

Objective of the Study: Evaluate the effectiveness of different options for surgical treatment of hallux valgus by functional and radiographic results of osteotomies saving the metatarsophalangeal joint.

Materials and Methods: 342 patients with hallux valgus I, II, III degrees were studied. Patients were examined before surgery, 3, 6 and 12 months after operation. X-ray results were assessed by the hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMMA) before and after the operations. AOFAS score-rating scale (Kitaoka) was used for the functional assessment of the results of surgical treatment.

Discussion: The result of the study showed that a positive correlation was found between the correction of the HVA and high AOFAS scores in the group of patients operated by the Scarf method. The Austin osteotomy patient group had a direct correlation between the value of the IMA correction and the increasing functional activity of the foot. There was a correlation between DMMA correction and high AOFAS scores in patients after Bosh-Magnan surgery.

Conclusion: According to the study Scarf osteotomy should be used in case of Hallux valgus deformity determined mainly by the HVA. Austin osteotomy should be used for Hallux valgus deformity which is predominantly determined by the IMA. Attention should be paid to the Bosch-Magnan osteotomy in case of Hallux valgus deformity determined mainly by the DMMA. The absence of complications in these types of osteotomies is explained by the analysis of long-term results, which did not reveal significant differences in soft tissues before and after surgery, since the wounds healed by primary intention.

Keywords: Hallux Valgus; Scarf Osteotomy; Austin Osteotomy; Bosh-Magnan Osteotomy; Correlation Analysis

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References

  1. Bezgodkov Yu A., et al. “Biomechanical investigations of patients with foot deformities”. Modern Problems of Science and Education 2 (2014): 308.
  2. Berezhnoy SYu. “First metatarsal fixed displaced distal percutaneous osteotomy in the metatarsus primus varus surgical correction”. Traumatology and Orthopedics of Russia 69 (2013): 37-44.
  3. Prozorovsky DV., et al. “Differential approach to the choice of the type of surgical aid for the correction of hallux valgus of the first toe”. Trauma 2 (2017): 81-86.
  4. Prozorovsky DV., et al. “Correction of hallux valgus using chevron osteotomy and Akin osteotomy”. Trauma 3 (2011): 56.
  5. Prozorovsky DV., et al. “Corrective arthrodesis of the metatarsal joint in the treatment of hallux valgus”. Trauma 17 (2016): 110-114.
  6. Altenberger S., et al. “The minimally invasive Chevron and Akin osteotomy (MICA)”. Operative Orthopädie und Traumatologie 30 (2018): 148-160.
  7. Schulze C., et al. “Kramer- und Chevron-Osteotomie bei Hallux valgus – retrospektive vergleichende Untersuchung des funktionellen und radiologischen Ergebnisses”. Zeitschrift Für Orthopädie Und Unfallchirurgie 157 (2019): 29-34.
  8. Minasov TB., et al. “X-ray aspects of forefoot reconstruction”. Bashkortostan Medical Journal 1 (85) (2020): 31-37.
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Citation

Citation: Yakupova Ekaterina Rishatovna., et al. “Comparison of Three Treatment Modalities for Hallux Valgus Surgery Using Xray and Functional Scoring Methods".Acta Scientific Orthopaedics 4.11 (2021): 14-18 .




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