TREATMENT OF TRANSVERSE FLATFOOT WITH HALLUX VALGUSIN TYPE I AND II FOOT FLATNESS

Abstract

Introduction Static deformity of the forefoot is up to 80% among orthopedic foot pathology in adults. Pathology causes a
significant violation of the biomechanics of the entire lower limb, accompanied by pain in the front section of foot, difficulty in
selecting and wearing shoes, reduces the ability to work and significantly the patient's quality of life. In this regard, the
development of a treatment for static deformity of the front section of foot involving the elimination of hallux valgus, metatarsusprimavarus and plantar deviation of the central foot rays remains an incompletely solved and urgent problem of
modern orthopedics and is demanded by public health.
The aim. To construct a device for the intraoperative correction of the lateral flatness of the foot and the method of
fixation of the metatarsal bones of the postoperative period in a corrected position.
Research methods. Research method a series of cases. This paper presents preliminary immediate results of using an
intraoperative corrector to restore the transverse arch of the foot during an operation of reconstruction of the front section of
foot in 17 patients aged 33 to 66 years. The average age was 53,9 years.
Results. Intraoperative correction of transverse flatness of the foot was achieved in all patients. The loss of correction
during the year did not exceed 2 mm and did not affect the outcome of the treatment of patients. Hallux valgus was
eliminated in all patients and the HVA angle ranged from 5º to 10º. During the year, the loss of correction in our patients was
within 3º - 5º and did not affect the outcome of the treatment of patients. In the postoperative period, marginal necrosis of the
wound in the area of MFJ 1 was observed in one patient, the wound healed by secondary intention and did not affect the
outcome of the treatment. In all our patients, there was no recurrence of halluxvalgus, metatarsusprimavarus, transverse
flatness of the foot, and the failure of PKS1 arthrodesis.
Conclusion. The clinical evaluation of the correction of the transverse flatness of the foot by the proposed device and
the stable fixation of the labia-like joints with an angular stability plate showed the feasibility of using the device. At the same
time, given the short duration of observations and a small number of samples, the results obtained need to be confirmed by
subsequent studies.