Cherencov Vitaly Nikolaevich (the doctor the traumatologist-orthopedist of traumatology and orthopedics
MBUZ city clinical hospital№3, Krasnodar
)
Tadzh Artur Artemovich (postgraduate of chair of traumatology and orthopedics of the University medical faculty)
Procko Viktor Gennad'evich (candidate of medical Sciences, associate Professor of the Department of traumatology and Orthopaedics, PFUR
GBUZ "city clinical hospital№7 named after S. S. Yudin DZM", Moscow
)
Tamoev Sargon Konstantinovich (candidate of medical Sciences, doctor traumatologist orthopedist
GBUZ "city clinical hospital№7 named after S. S. Yudin DZM", Moscow
)
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The aim of our study was to compare treatment outcomes of metatarsalgia using a modified Helal osteotomy for diaphyseal and distal mini-invasive osteotomy (DMMO). 69 patients were divided into two groups: 30 patients underwent surgery Helal, 39 – DMMO. Complex multi-plane deformation of the Central finger was observed in 12 patients (40 %) in the group with Helal and 10 (26 %) in the group DMMO. It was shown that despite high patient satisfaction with treatment in both groups (97 and 82 %, respectively), patients in group DMMO longer swelling of the operated foot and the phenomenon of residual metatarsalgia. In addition, the method Helal was more reliable for the relief of symptoms of metatarsalgia in cases of pronounced multiplanar deformities of the toes: after 12 months the results were satisfactory in 92 % of patients in the group with Helal and only 30% in the group DMMO. When performing x-ray control after 3 months the fusion was not detected in a significantly greater number of patients in the group DMMO (54% vs 7%), 12 months after the data became comparable in both groups. The results of this study led us to the restriction of indications for use DMMO in complex multiplanar deformities of the Central fingers; it was shown that modified osteotomy for Helal allows to expect a more reliable result. The role of the DMMO is the lead for the relief of the phenomena isolated metatarsalgia under a single metatarsal bone, and metatarsalgia expressed without rigid deformities of the fingers.
Keywords:metatarsalgia, at the Helal osteotomy, distal diaphyseal osteotomy minimally invasive, percutaneous foot surgery, Podiatry.
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Read the full article …
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Citation link:
Cherencov V. N., Tadzh A. A., Procko V. G., Tamoev S. K. Syndrome treatment central metatarsalgia // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2017. -№07-08. -С. 139-144 |
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