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.
Aim. To prove the efficiency of using a new variant of leg tutor for correction of locomotor system pathology in treatment of equvinus foot deformity.
Materials and methods. A mean age of 23 patients with hemiparesis and equvinus foot deformity was 42.5 years. Tonus and strength of legs was assessed. Angulometric and stabilometric studies were realized.
Results. The developed model of leg tutor was used. To eliminate equvinus foot deformity, hyperextension of the knee joint was gradually eliminated using individual choice of the heel form and height, thus strengthening a quadriceps muscle of the thigh. The knee joint stability increased, the intensity of pain syndrome reduced. Arthropathies and deformities of the knee joint were prevented. Innovation of the developed model is the following: a soft glue-based responsive side of textile band “Contact” “Velcro” was stably fixed to the outside surface of posterior third of the plantar part of tutor sleeve. To the responsive side of a textile band, there were fixed removable heel pads (heels from microporous rubber of different height (from 5 to 25 mm) with a responsive hard (with hooks) part of textile band “Contact” “Velcro”). Tutor provided the ability to move and guaranteed stable holding of the extremity segments in the posterior position. There was observed a positive dynamics of changes in the muscular tonus of paralyzed leg.
Conclusions. The developed tutor model can be used in orthopedic-traumatological practice to correct equvinus foot deformity; the model efficiency is confirmed by clinical and stabilometric parameters.
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