Surgical treatment of severe valgus deformity of the first finger of foot for adults

Treatment of static deformations the forefoot with valgus deformation first toe remains relevant today. Objective. Toanalyze results surgery severe hallux using corrective proximal wedge-shaped osteotomy I metatarsalbone and Lapidus arthrodesis. Methods. The surgical treatment 104 women (147 feet) halluxvalgus according to Mann classification were evaluated. Age — 27‒65 years, follow-up period from 10 months up to5 years. Performed: 65 (56.0 %) cases metatarsal bone fixationwith LCP-plate or screws; 51 (44.0 arthrodesis metatarsal-sphenoid joint LCP-platefixation. All patients underwent Schede operation lateral release 1st metatarsophalangeal capsule tenoadductorotomy. evaluated on basis X-ray data AOFAS scoring scale. Results.After in 58 (89.2 patients, result was classified as good, 7 (10.8 satisfactory. improvement average score 42 points. After application arthrodesis, good 47 (92.2 cases, satisfactory 4 (7.8 %), 40 Conclusions. Under conditions valgus, should some be combined distal due increase PASA angle. technique allows minimize possible relapses deformity, contrast traditional osteotomies formation ankylosis sphenoid joint, but has longer consolidation periods risks non-union.