Helal osteotomy at surgical treatment of metatarsalgia

Authors

  • Dmytro Prozorovskiy Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0002-0469-747X
  • Ruslan Buznytskyi Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Ukraine

DOI:

https://doi.org/10.15674/0030-59872020367-71

Keywords:

metatarsalgia, hallux valgus, Helal osteotomy

Abstract

Treatment of metatarsalgia in patients with hallux valgus deformity is one of orthopedic problem. It is known about a significant role in the relationship of the length of the metatarsal feet bones and biomechanical metatarsalgia. A number of surgeries have been proposed, including Helal osteotomy, which consists mainly in the posterior displacement of the metatarsal head and it shows good results. Objective: to study the results of surgical treatment of metatarsalgia caused by biomechanical disorders in patients with hallux valgus deformity with corrective Helal osteotomy. Methods: the study is based on the surgical treatment of 114 (179 feet) patients with hallux valgus deformity. Among them, metatarsalgia was found in 32 (17.9 %) of cases. For its treatment corrective osteotomy of the metatarsal bones was used according to the Helal method with screw fixation. Results: according to the ACFAS scale, the average score improved by 32.5 (from 63.1 points before operations to 95.6 points in followup potsurgery period). In 26 (81.3 %) cases with metatarsalgia the regression of symptoms was determined. Conclusions: in our study the frequency of metatarsalgia caused by biomechanical disorders was 17.9 %. In patients with metatarsalgia in 40.6 % of cases metatarsal parabola had small anatomical shape. Surgical treatment of metatarsalgia caused by biomechanical disorders with Helal osteotomy patients allowed us to get positive results in 81.3 % of cases. Helal osteotomy with screw fixation of metatarsal fragments can be an option for the treatment of metatarsalgia.

Author Biographies

Dmytro Prozorovskiy, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopaedics

Ruslan Buznytskyi, Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine

PhD in Traumatology and Orthopaedics

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How to Cite

Prozorovskiy, D., & Buznytskyi, R. . (2023). Helal osteotomy at surgical treatment of metatarsalgia. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 67–71. https://doi.org/10.15674/0030-59872020367-71

Issue

No. 3 (2020)

Section

ORIGINAL ARTICLES

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Copyright (c) 2020 Dmytro Prozorovskiy, Ruslan Buznytskyi Buznytskyi

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