Pain monitoring to determine the optimal timing of activation of patients after reconstructive surgery for transverse flatfoot

In 30 patients with flat foot and hallux valgus reconstructive operations by CITO and Shev- ron’s techniques were performed on both feet. Pain monitoring using «Card of pain audit» was carried out at rest and under load. In 15 patients feet loading was started on the 6 postoperative day and in other 15 patients — on the 4 day. Pain audit showed that the optimum time for the patient activization was the 4th postoperative day with use of special postoperative shoes and without plaster dressing and additional support. Use of computer system «Balance test» was shown to be a perspective for the objective evaluation of postoperative weight-bearing ability, efficacy of patient activization as well as for the acceleration of patient adaptation to postoperative loads.