Анатомические особенности коррекции молоткообразной деформации пальцев стопы

Abstract

Abstract Background: Hammer toe deformity – critical problem in modern foot and ankle surgery Material and methods: to assess the results of arthrodesis by IPP-ON interphalangeal implant in the treatment of hammer toes deformity. 19 surgeries were carried out in 11 patients (from January 2014 to February 2015), female, aged 27-63 years with stage III (according to the M.I. Kuslik – classification) of hammer toes deformity. In 73% surgeries were performed on two feet, 27% – on one foot. All surgeries were combined with metatarsal Weil-osteotomy. Ranges of followups were 6-20 months. Results: results evaluation was carried out by AOFAS scale. A significant improvement was noted after arthrodesis by IPP-ON interphalangeal implant: in average score before surgery – 46, in the postoperative period – 90. Improving the foot function with an average of 18 in preoperative period, after surgery reached 40 points. The alignment of the foot and toes is changed from the average value of 2.8 to 11.6 in postoperative period. Conclusions: Results showed the effectiveness of the arthrodesis by IPP-ON interphalangeal implant in the treatment severity hammer toes deformity. These surgery has allowed to achieve good functional and cosmetic results in follow-up postoperative period. The arthrodesis by IPP-ON interphalangeal implant can be used as an adjunct to other types of reconstructive foot surgery