Treatment system for myoneurogenic foot deformities in adults

Surgical management for the myoneurogenetic foot deformities is suggested. It is based on the differenciated approach to the elimination of all components of the deformity as possibile. The treatment includes 4 complex operations: 1) surgical intervention on soft tussies in combination with osteotomy of the first metatarsal bone; 2) wedge resection and three-articular arthrodesis of foot joints; 3) wedge resection and four-articular arthrodesis of foot and ankle joints; 4) closed correction of the deformity using hinge-distraction device. Results of the treatment (126 patients, 155 feet) confirmed the efficacy of the suggested methods. In 87%) of cases long-term results were good, in 8.4%) — satisfactory and in 4.5% of cases -unsatisfactory.