FOR THE MEDICAL PRACTITIONER
Orthopedics
doi: 10.25005/2074-0581-2025-27-2-479-486
RESULTS OF HALF-CENTURY SURGICAL TREATMENT OF HALLUX VALGUS ASSOCIATED WITH TRANSVERSE FLAT FEET

E.V. KHALIMOV, T.S. BARANOVA, A.YU. MIKHAILOV, A.I. ZAKIRYANOVA, A.R. SHAGEEVA

Izhevsk State Medical Academy, Izhevsk, Russian Federation

Objective: To evaluate the effectiveness of surgical treatment in patients with hallux valgus (HV) associated with transverse flat feet over 50 years of clinical practice

Methods: The study analyzed treatment outcomes in 570 patients with grade 1 and 2-4 HV combined with transverse flat feet treated at the Department of General Surgery of the Izhevsk State Medical Academy. The degree of first toe deviation and the presence of transverse flat feet were determined using quantitative radiography, the longitudinal and transverse arch indices, plantography, and assessment of the spring function of the foot while standing on both feet or one foot, or one foot under load. All patients underwent surgery using a technique developed by the authors (Patent Certificate No. 1313432).

Results: In the early postoperative period, the primary therapeutic effect of the proposed surgical technique was an improvement in forefoot parameters. Correction of the transverse flat feet was achieved, as the longitudinal arch index increased by an average of 0.81%; the transverse arch index decreased by an average of 2.80%; the HV angle decreased by an average of 22.52º. Long-term results were evaluated using the G.N. Kramarenko and I.S. Istomina system. A total of 342 patients who underwent surgery using the proposed method were monitored over a period ranging from 3 to 50 years. The outcomes were good in 266 patients (77.78%), satisfactory in 70 patients (20.47%), and unsatisfactory in 6 patients (1.75%).

Conclusion: The analysis of our clinical material reveals a significant predominance of good and satisfactory outcomes in both the early and long-term postoperative periods. The proposed surgical technique is well-justified and may be adopted in both specialized and general surgical departments.

Keywords: Hallux valgus, surgical treatment outcomes, results of comprehensive examination.

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Authors' information:

Khalimov Eduard Vagizovich,
Doctor of Medical Sciences, Full Professor, Head of the Department of General Surgery, Izhevsk State Medical Academy Researcher ID: KHY-8726-2024
Scopus ID: 6603746550
ORCID ID: 0000-0001-6274-4310
SPIN: 4939-2391
Author ID: 1019734
E-mail: Ob.hirurgiy21@mail.ru

Baranova Tatyana Semyonovna,
Candidate of Medical Sciences, Associate Professor of the Department of General Surgery, Izhevsk State Medical Academy
Researcher ID: KHZ-8405-2024
ORCID ID: 0009-0004-6427-4112
E-mail: tanya.baranova@gmail.ru

Mikhaylov Aleksandr Yuryevich,
Candidate of Medical Sciences, Associate Professor of the Department of General Surgery, Izhevsk State Medical Academy
Researcher ID: KHY-8659-2024
Scopus ID: 57276201200
ORCID ID: 0000-0002-9368-8021
SPIN: 4943-0639
Author ID: 1019826
E-mail: dr.alexandrmich@gmail.com

Zakiryanova Aliya Ilgizarovna,
Student of the Faculty of Medicine, Izhevsk State Medical Academy
Researcher ID: KFS-1298-2024
ORCID ID: 0009-0000-4977-2579
E-mail: aliya-zakiryanova@mail.ru

Shageeva Adilya Rafkatovna,
Student of the Faculty of Medicine, Izhevsk State Medical Academy
Researcher ID: KFS-1298-2024
ORCID ID: 0009-0007-2305-991X
E-mail: adilasageeva24785@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Khalimov Eduard Vagizovich
Doctor of Medical Sciences, Full Professor, Head of the Department of General Surgery, Izhevsk State Medical Academy

426000, Russian Federation, Izhevsk, Kommunarov str., 281

Tel.: +7 (912) 4518280

E-mail: Ob.hirurgiy21@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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