Surgical treatment of Hallux extensus
Introduction This study is a comparative assessment of early and long-term results of two different methods of surgical treatment of hallux extensus. Materials and methods The results of surgical treatment of 22 patients with Hallux extensus at the orthopedic department of the Moscow Yudin City Ho...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2022-06-01
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| Series: | Гений oртопедии |
| Subjects: |
| Summary: | Introduction This study is a comparative assessment of early and long-term results of two different methods of surgical treatment of hallux
extensus. Materials and methods The results of surgical treatment of 22 patients with Hallux extensus at the orthopedic department of the
Moscow Yudin City Hospital from 2017 to 2019 were studied. The patients were divided into 2 groups depending on the tactics of surgical
treatment. The main goal of this study is a comparative assessment of the functional results of two surgical techniques. The first group of
patients, which included 11 subjects, underwent needle percutaneous tenotomy of the extensor tendon of the big toe, the second group, which
also consisted of 11 people, underwent tenodesis of the tendon-muscular part of the short flexor of the big toe according to the proposed by
us technique. Results The study results are based on the assessment of subjective patient satisfaction and radiography images, as well as on
the ACFAS score. In the group of patients who underwent percutaneous tenotomy of the extensor tendon of the big toe, there was a recurrence
of deformity in 4 patients (36 %) and insufficient correction of the deformity in 2 patients (18 %). In the group of patients who underwent
tenodesis of the tendon-muscle part of the short flexor of the big toe, 100 % showed good functional results, pain relief and esthetic effect.
Good treatment results were observed in 73.3 % of the patients. Conclusions Analysis of the clinical results of surgical treatment showed a high
efficacy of tenodesis of the tendon-muscle part of the short flexor of the big toe in comparison with percutaneous tenotomy of the extensor
tendon of the big toe. Positive results were achieved in 100 % of cases. No recurrence of deformity was observed. The patients did not complain
of pain, and there were no problems with footwear in the postoperative period. |
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| ISSN: | 1028-4427 2542-131X |