Rudenko R. Surgical treatment of severe forms of hallux valgus

The dissertation is aimed at solving the actual question of establishing the effectiveness the modern methods of surgical treatment of patients with severe hallux valgus. On the basis of clinical-radiological investigation the actuality of the Manchester Grading Scale using for severity of the hallux valgus based on the visual imagination of the deformity has been argued; the absence of dependence between pain, radiological signs of osteoarthrosis and real damage of the joint cartilage of the first metatarsophalangeal joint has been established; the main significance of subjective assessement of the foot condition for determination of indications for surgical correction of hallux valgus and results assessement has been showed, but scialogical indicators are reflecting the deformity existing and its dynamics after correction only. On the basis of biomechanical investigation the increasing of loading on the forefoot in patients with severe hallux valgus and following increasing after surgical correction has been established; whereas surgical correction don’t influences on the loading symmetry and forefoot width. On the basis of long-term results analysis the surgical correction of severe hallux valgus provides equal clinical-radiologic and functional results despite the method and level of first metatarsal osteotomy, the excellent results are absent; the hypocorrection in patients with severe hallux valgus don’t influence on functional result of treatment.