RESULTS OF HALF-CENTURY SURGICAL TREATMENT OF HALLUX VALGUS ASSOCIATED WITH TRANSVERSE FLAT FEET
Objective: To evaluate the effectiveness of surgical treatment in patients with hallux valgus (HV) associated with transverse flat feet over 50 years of clinical practice Methods: The study analyzed treatment outcomes in 570 patients with grade 1 and 2-4 HV combined with transverse flat feet trea...
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| Format: | Article |
| Language: | English |
| Published: |
Avicenna Tajik State Medical University
2025-07-01
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| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2025-27-2-479-486 |
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| Summary: | Objective: To evaluate the effectiveness of surgical treatment in patients with hallux valgus (HV) associated with transverse flat feet over 50 years of clinical practice
Methods: The study analyzed treatment outcomes in 570 patients with grade 1 and 2-4 HV combined with transverse flat feet treated at the Department of General Surgery of the Izhevsk State Medical Academy. The degree of first toe deviation and the presence of transverse flat feet were determined using quantitative radiography, the longitudinal and transverse arch indices, plantography, and assessment of the spring function of the foot while standing on both feet or one foot, or one foot under load. All patients underwent surgery using a technique developed by the authors (Patent Certificate No. 1313432).
Results: In the early postoperative period, the primary therapeutic effect of the proposed surgical technique was an improvement in forefoot parameters. Correction of the transverse flat feet was achieved, as the longitudinal arch index increased by an average of 0.81%; the transverse arch index decreased by an average of 2.80%; the HV angle decreased by an average of 22.52º. Long-term results were evaluated using the G.N. Kramarenko and I.S. Istomina system. A total of 342 patients who underwent surgery using the proposed method were monitored over a period ranging from 3 to 50 years. The outcomes were good in 266 patients (77.78%), satisfactory in 70 patients (20.47%), and unsatisfactory in 6 patients (1.75%).
Conclusion: The analysis of our clinical material reveals a significant predominance of good and satisfactory outcomes in both the early and long-term postoperative periods. The proposed surgical technique is well-justified and may be adopted in both specialized and general surgical departments. |
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| ISSN: | 2074-0581 2959-6327 |