Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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SURGICAL TRIATMENT OF BONE AND JOINT DEFORMITY IS A PERSPECTIVE OPTION OF DEVELOPMENT DIABETIC FOOT PROPHYLACTIC SURGERY

Grekova N.M. 1 Tertishnik S.S. 1 Lebedeva J.V. 1 Bordunovskiy V.N. 1 Pfeifer A.V. 1
1 South Urals state medical university
This study presents the results of surgical treatment for deformity of foot in patients with neuropathy diabetic foot. Surgical correction was performed in 22 feet of 15 patients with diabetic foot, Hallux valgus and Claw toes. Patients with first intermetatarsal angle less than 15 degrees and Hallux valgus angle less than 30 degrees had underwent Stoffella distal subcapital first metatarsal osteotomy fixed with intramedullar pin. Less active patients with osteoporosis older 60 years underwent Brandes-Keller resectional arthroplasty with axial Kirschner wire transfixation. Hallux valgus correction was accompanied by excisional arthroplasty and arthrodesis of the proximal interphalangeal joint performed for correction of claw toes (9 patients, 14 feet). Stoffella subcapital osteotomy, Brandes-Keller resection arthroplasty and excisional arthroplasty of proximal interphalangeal joint have good clinical outcomes in patients with diabetic foot. No ulcer was developed at follow up.