Ostapchuk R. Corrective osteotomy of the first metatarsal bone in hallux valgus

Improving the efficiency of the treatment of patients with hallux valgus is an actual problem of modern orthopedics. When hallux valgus II-III degree for the treatment of a disease used complex surgical interventions, which include corrective osteotomy of the proximal part of the first metatarsal bone. It is proved that in patients with hallux valgus II-III degree in planning corrective osteotomies of the first metatarsal should be used, developed by us on the basis of mathematical tables that let you define the desired character itself corrective osteotomy (wedge-resection, osteoplastic, combined resection- osteoplastic), as well as the parameters of the simultaneous correction of the position of the first metatarsal bone in the frontal, horizontal planes, with the restoration of its relative length. It was established that during the surgical treatment of patients with hallux valgus when the bursexostosectomy advisable to use a pendulum rasp that enables smooth bony prominences of the head of the first metatarsal bone after removal of exostosis. In patients with hallux valgus II-III degree when performing corrective osteotomies of the first metatarsal bone for osteosynthesis of its fragments is advisable to use compressed hooked plate. According to the results of mathematical, biomechanics, clinical and radiological studies in patients with hallux valgus II-III degree shown that the use of tables, developed on the basis of mathematical calculations to determine one of the options corrective osteotomies of the first metatarsal bone - osteoplastic, wedge resection, combined resection-osteoplastic, as well as improved techniques of surgical intervention can improve the static-dynamic parameters of the function of the foot.