Surgical Treatment and Postoperative Management of Patients with Broad Forefoot

Аннотация

The article considers the problem of broad forefoot, which is one of the most frequent deformities of the musculoskeletal system.

Aim — to improve the results of treatment of patients with transverse platypodia by the use of new methods of surgical interventions, and to improve the tactics of postoperative management of such patients.

Material and methods. The study involved analysis of the results of treatment of 375 patients. For evaluating the long-term outcomes of treatment, methods of evidence-based medicine were used, reflecting a reduction in the relative risk of interventions and an increase in their relative benefit.

Results. The study of the long-term results of treatment showed that there were good and satisfactory outcomes in 92.7% cases (267 patients) and only 7.3% of unsatisfactory results (21 patients) in the main group; in comparison group — 74.7% (65 patients) and 25.3% (22 patients) respectively.

The evaluation of the adequacy of anesthesia on the first day after the operation revealed good and satisfactory quality of anesthesia in the first group in 259 patients (89.9%), in the second  — only in 48 patients (55.2%).

Conclusion. The use of the above mentioned methods of surgical treatment and enhancement of tactics of postoperative management improve outcomes of patients with transverse flatfoot, and, consequently, are recommended for widespread use in clinical practice.

Список литературы

1. Zagorodnij NV. Illyustrirovannoe rukovodstvo po hirurgii perednego otdela stopy. M.: Tipografiya RUDN, 2012:33–37. (In Russ.).

2. Kotelnikov GP, Chernov AP. Spravochnik po ortopedii. M.: Medicina, 2005. (In Russ.).

3. Korzh NA, Prozorovskij DV, Romanenko KK. The tactics of treating patients in the postoperative period after orthopedic surgery in the forefoot. Travma. 2011;T.12(1):61–64. (In Russ.).

4. Beertema W. A retrospective analysis of surgical treatment in patients with symptomatic hallux rigidus: long term follow-up. J. FootAnkleSurg. 2006;Vol.45,(3):244–251.

5. Prozorovskij DV. Evaluation of the results of surgical treatment of deformities of the forefoot (review). Ukrains'kij morfologіchnij al'manah. 2010;T.8(3):114–116. (In Russ.).

Для цитирования

Rasputin DA. Surgical Treatment and Postoperative Management of Patients with Broad Forefoot. Science & Innovations in Medicine. 2017;3(7):55-57.

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