New method of surgical correction of lesser toes deformity

Background. Patients’ dissatisfaction with the results of surgical correction of lesser toes deformities, the shortcomings of methods aimed at eliminating the lateral deviation of the toe in the metatarsophalangeal joint necessitated the development of a new surgical method.The aim. To evaluate shor...

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Autores principales:	S. N. Leonova, I. V. Usoltsev, M. A. Kosareva
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	hallux valgus lesser toes deformity hammer toe deformity metatarsal osteotomy Science Q
Acceso en línea:	https://doaj.org/article/38144a47fc9b4be49b69126c08c8fdf3
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spelling	oai:doaj.org-article:38144a47fc9b4be49b69126c08c8fdf32021-11-23T06:14:47ZNew method of surgical correction of lesser toes deformity2541-94202587-959610.29413/ABS.2021-6.5.16https://doaj.org/article/38144a47fc9b4be49b69126c08c8fdf32021-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/3047https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. Patients’ dissatisfaction with the results of surgical correction of lesser toes deformities, the shortcomings of methods aimed at eliminating the lateral deviation of the toe in the metatarsophalangeal joint necessitated the development of a new surgical method.The aim. To evaluate short-term results of the new surgical method for the treatment of patients with lesser toes deformity, accompanied with deviation of the toe.Materials and methods. A method of surgical treatment of deviated deformity of the small toes is proposed. The method includes precise marking of the metatarsal osteotomy line according to the previously calculated parameters of optimal shortening and displacement of the metatarsal bone, performing oblique diaphyseal osteotomy of the metatarsal bone, displacing its distal part along the osteotomy plane. According to the proposed method, nine patients were operated on who had a syndrome of nonrigid hammer-like deformity of the second toe with lateral deviation of the toe in the metatarsophalangeal joint. In all patients, the deformity of the second toe was associated with hallux valgus.Results. As a result of the application of the proposed method, it was possible to achieve deformity correction, eliminate the lateral deviation of the second toe in the metatarsophalangeal joint, restore congruence in the joint, achieve consolidation of bone fragments without loss of correction, and improve the appearance and function of the foot. Three months after the operation, a statistically significant improvement was determined, according to the AOFAS LMIS scale, having reached 94.5 ± 4.64 points, which made it possible to speak about the achievement of a good functional result of treatment. Patients noted the opportunity to wear standard footwear, to carry out their labor activity, to engage in physical culture, were satisfied with the result.Conclusion. The use of the proposed new surgical method for deflected deformity of the lesser toes makes it possible to correct the deformity, eliminate lateral deviation of the toe, relieve pain syndrome, achieve a good cosmetic and functional result, restoring the patients’ ability to wear standard shoes.S. N. LeonovaI. V. UsoltsevM. A. KosarevaScientific Сentre for Family Health and Human Reproduction Problemsarticlehallux valguslesser toes deformityhammer toe deformitymetatarsal osteotomyScienceQRUActa Biomedica Scientifica, Vol 6, Iss 5, Pp 167-177 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	hallux valgus lesser toes deformity hammer toe deformity metatarsal osteotomy Science Q
spellingShingle	hallux valgus lesser toes deformity hammer toe deformity metatarsal osteotomy Science Q S. N. Leonova I. V. Usoltsev M. A. Kosareva New method of surgical correction of lesser toes deformity
description	Background. Patients’ dissatisfaction with the results of surgical correction of lesser toes deformities, the shortcomings of methods aimed at eliminating the lateral deviation of the toe in the metatarsophalangeal joint necessitated the development of a new surgical method.The aim. To evaluate short-term results of the new surgical method for the treatment of patients with lesser toes deformity, accompanied with deviation of the toe.Materials and methods. A method of surgical treatment of deviated deformity of the small toes is proposed. The method includes precise marking of the metatarsal osteotomy line according to the previously calculated parameters of optimal shortening and displacement of the metatarsal bone, performing oblique diaphyseal osteotomy of the metatarsal bone, displacing its distal part along the osteotomy plane. According to the proposed method, nine patients were operated on who had a syndrome of nonrigid hammer-like deformity of the second toe with lateral deviation of the toe in the metatarsophalangeal joint. In all patients, the deformity of the second toe was associated with hallux valgus.Results. As a result of the application of the proposed method, it was possible to achieve deformity correction, eliminate the lateral deviation of the second toe in the metatarsophalangeal joint, restore congruence in the joint, achieve consolidation of bone fragments without loss of correction, and improve the appearance and function of the foot. Three months after the operation, a statistically significant improvement was determined, according to the AOFAS LMIS scale, having reached 94.5 ± 4.64 points, which made it possible to speak about the achievement of a good functional result of treatment. Patients noted the opportunity to wear standard footwear, to carry out their labor activity, to engage in physical culture, were satisfied with the result.Conclusion. The use of the proposed new surgical method for deflected deformity of the lesser toes makes it possible to correct the deformity, eliminate lateral deviation of the toe, relieve pain syndrome, achieve a good cosmetic and functional result, restoring the patients’ ability to wear standard shoes.
format	article
author	S. N. Leonova I. V. Usoltsev M. A. Kosareva
author_facet	S. N. Leonova I. V. Usoltsev M. A. Kosareva
author_sort	S. N. Leonova
title	New method of surgical correction of lesser toes deformity
title_short	New method of surgical correction of lesser toes deformity
title_full	New method of surgical correction of lesser toes deformity
title_fullStr	New method of surgical correction of lesser toes deformity
title_full_unstemmed	New method of surgical correction of lesser toes deformity
title_sort	new method of surgical correction of lesser toes deformity
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/38144a47fc9b4be49b69126c08c8fdf3
work_keys_str_mv	AT snleonova newmethodofsurgicalcorrectionoflessertoesdeformity AT ivusoltsev newmethodofsurgicalcorrectionoflessertoesdeformity AT makosareva newmethodofsurgicalcorrectionoflessertoesdeformity
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New method of surgical correction of lesser toes deformity

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