Using biodegradable screws in treatment of hallux valgus

The aim of the research was to assess using biodegradable screws in treatment of hallux valgus. We managed 40 female patients (average age 50 ± 2.51) with hallux valgus who where admitted to the orthopedic unit of Irkutsk Scientific Center of Surgery and Traumatology for operative treatment. All pat...

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Autores principales:	S. N. Leonova, I. V. Usoltsev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2016
Materias:	plga pasa hallux valgus biodegradable screws Science Q
Acceso en línea:	https://doaj.org/article/f13e619b34694dbd95b9a7d113fd3e7d
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spelling	oai:doaj.org-article:f13e619b34694dbd95b9a7d113fd3e7d2021-11-23T06:14:35ZUsing biodegradable screws in treatment of hallux valgus2541-94202587-959610.12737/22943https://doaj.org/article/f13e619b34694dbd95b9a7d113fd3e7d2016-07-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/241https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The aim of the research was to assess using biodegradable screws in treatment of hallux valgus. We managed 40 female patients (average age 50 ± 2.51) with hallux valgus who where admitted to the orthopedic unit of Irkutsk Scientific Center of Surgery and Traumatology for operative treatment. All patients had X-ray, MRI and intraoperational examination of affected foot before the surgery and in postoperative period. All patients were operated using own surgical technique. Patients were divided into two groups: group 1 (22 patients) - osteosynthesis using biodegradable (PLGA) screws; group 2 (18 patients) - osteosynthesis using metal cannulated screws. In group 1 postoperative values of M1P1 angle were within normal range (9.67 ± 0.78°). According to MRI, proximal articular set angle (PASA) was corrected from 21.5 ± 0.35 to 4.17 ± 0.09°. 6 patients of the group 1 were complaining of pain and discomfort in the area of screw-head contacting soft tissues. The result of operative treatment in the group 2 resulted in the correction of M1P1 angle from 34 ± 1.63 to 7.67 ± 0.75°. After the surgery intraoperative PASA was back to the normal range (4.33 ± 0.34°). The comparison of the results of treatment of patients of groups 1 and 2 didn't reveal any statistically significant differences in the values of М1Р1, М1М2, М1М5 angles and PASA. The advantage of using biodegradable screws, compared to the metal ones, in the treatment of hallux valgus is the possibility of postoperative MRI of the foot with calculation of PASA to evaluate treatment results. The disadvantage of using biodegradable screws is engineering deficiency preventing screw-head from dipping into bone tissue and causing soft tissue traumatizing. Biodegradable and metal screws allow to obtain similar results of hallux valgus treatment.S. N. LeonovaI. V. UsoltsevScientific Сentre for Family Health and Human Reproduction Problemsarticleplgapasahallux valgusbiodegradable screwsplgapasaScienceQRUActa Biomedica Scientifica, Vol 1, Iss 4, Pp 51-55 (2016)
institution	DOAJ
collection	DOAJ
language	RU
topic	plga pasa hallux valgus biodegradable screws plga pasa Science Q
spellingShingle	plga pasa hallux valgus biodegradable screws plga pasa Science Q S. N. Leonova I. V. Usoltsev Using biodegradable screws in treatment of hallux valgus
description	The aim of the research was to assess using biodegradable screws in treatment of hallux valgus. We managed 40 female patients (average age 50 ± 2.51) with hallux valgus who where admitted to the orthopedic unit of Irkutsk Scientific Center of Surgery and Traumatology for operative treatment. All patients had X-ray, MRI and intraoperational examination of affected foot before the surgery and in postoperative period. All patients were operated using own surgical technique. Patients were divided into two groups: group 1 (22 patients) - osteosynthesis using biodegradable (PLGA) screws; group 2 (18 patients) - osteosynthesis using metal cannulated screws. In group 1 postoperative values of M1P1 angle were within normal range (9.67 ± 0.78°). According to MRI, proximal articular set angle (PASA) was corrected from 21.5 ± 0.35 to 4.17 ± 0.09°. 6 patients of the group 1 were complaining of pain and discomfort in the area of screw-head contacting soft tissues. The result of operative treatment in the group 2 resulted in the correction of M1P1 angle from 34 ± 1.63 to 7.67 ± 0.75°. After the surgery intraoperative PASA was back to the normal range (4.33 ± 0.34°). The comparison of the results of treatment of patients of groups 1 and 2 didn't reveal any statistically significant differences in the values of М1Р1, М1М2, М1М5 angles and PASA. The advantage of using biodegradable screws, compared to the metal ones, in the treatment of hallux valgus is the possibility of postoperative MRI of the foot with calculation of PASA to evaluate treatment results. The disadvantage of using biodegradable screws is engineering deficiency preventing screw-head from dipping into bone tissue and causing soft tissue traumatizing. Biodegradable and metal screws allow to obtain similar results of hallux valgus treatment.
format	article
author	S. N. Leonova I. V. Usoltsev
author_facet	S. N. Leonova I. V. Usoltsev
author_sort	S. N. Leonova
title	Using biodegradable screws in treatment of hallux valgus
title_short	Using biodegradable screws in treatment of hallux valgus
title_full	Using biodegradable screws in treatment of hallux valgus
title_fullStr	Using biodegradable screws in treatment of hallux valgus
title_full_unstemmed	Using biodegradable screws in treatment of hallux valgus
title_sort	using biodegradable screws in treatment of hallux valgus
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2016
url	https://doaj.org/article/f13e619b34694dbd95b9a7d113fd3e7d
work_keys_str_mv	AT snleonova usingbiodegradablescrewsintreatmentofhalluxvalgus AT ivusoltsev usingbiodegradablescrewsintreatmentofhalluxvalgus
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Using biodegradable screws in treatment of hallux valgus

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