Surgical tactics for elderly patients with deforming arthrosis of first metatarsophalangeal joint of foot
- Authors: Tokarev A.E.1, Kozyukov V.G.1, Schekolova N.B.1, Nenakhova Y.V.1
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Affiliations:
- E.A. Vagner Perm State Medical University
- Issue: Vol 36, No 1 (2019)
- Pages: 31-34
- Section: Clinical studies
- URL: https://journals.rcsi.science/PMJ/article/view/11661
- DOI: https://doi.org/10.17816/pmj36131-34
- ID: 11661
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Abstract
Aim. To analyze the results of various types of surgical interventions, used in elderly patients with deforming arthrosis of the first metatarsophalangeal joint of the foot.
Materials and methods. The long-term results of treatment of osteoarthrosis of the first metatarsophalangeal joint of the foot were analyzed in 70 elderly persons depending on the stage of disease. Clinical, roentgenological investigation, biomechanical and statistical methods were used for diagnosis and treatment. Results. Surgical tactics of treatment for elderly patients depending on the stage of disease was developed, outcomes of surgical treatment were followed up in 55 patients. Good results were reached in 47 (85.4 %) patients, satisfactory – in 8 (15.6 %) patients, no unsatisfactory results were noted.
Conclusions. Differentiated approach to treatment depends on the choice of optimal method in each concrete case taking into account the stage of disease, character of deformity; early complex postoperative rehabilitation permits to obtain favorable cosmetic and functional outcome, improve patients’ quality of life.
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##article.viewOnOriginalSite##About the authors
A. E. Tokarev
E.A. Vagner Perm State Medical University
Author for correspondence.
Email: rector@psma.ru
доктор мед. наук, профессор кафедры госпитальной хирургии
Russian Federation, 26, Petropavlovskay street, Perm, 614000V. G. Kozyukov
E.A. Vagner Perm State Medical University
Email: rector@psma.ru
доктор мед. наук, профессор кафедры травматологии, ортопедии и военно-полевой хирургии
Russian Federation, 26, Petropavlovskay street, Perm, 614000N. B. Schekolova
E.A. Vagner Perm State Medical University
Email: rector@psma.ru
доктор мед. наук, профессор кафедры травматологии, ортопедии и военно-полевой хирургии
Russian Federation, 26, Petropavlovskay street, Perm, 614000Ya. V. Nenakhova
E.A. Vagner Perm State Medical University
Email: rector@psma.ru
кандидат медицинских наук, доцент кафедры травматологии, ортопедии и военно-полевой хирургии
Russian Federation, 26, Petropavlovskay street, Perm, 614000References
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