MODERN METHODS OF SURGICAL CORRECTION PES PLANOVALGUS WITH OS TIBIALE EXTERNUM

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Abstract

From November 2007 to December 2010 on 25 patients with pes planovalgus accompanied by os tibiale externum were operated. Age of patients ranged from 16 to 35 years. In 80% of cases operations were performed on one foot, and 20% – at the same time on two feet. Treatment results were evaluated on a scale American Orthopaedic Society Foot and Ankle (AOFAS). The average pain scores improved from 14.3 to 29.0, the improvement of foot and heel functions – from 29.4 to 42.0, while the correct position has changed from the average value of 2,7 to 8,5. Radiography showed an average reduction of longitudinal arch angle to about 12.3, a decrease astragalocalcanean corner – at 8 on, the increase in height of the arch – on 5-8 mm. The study results confirmed the involvement of the presence of os tibiale externum to the development of planovalgus deformity. Treatment of such patients requires a comprehensive approach, the main stage of which is to remove the extra bone. Subtalar artroereisis in conjunction with plasty of tendon of posterior tibial muscle and transposition of the tendons of flexor digitorum longus is effective and modern methods of surgical correction of pes planovalgus with os tibiale externum.

About the authors

S. K. Tamoyev

ГОУ ВПО « Российский университет дружбы народов»

Author for correspondence.
Email: sargonik@mail.ru
аспирант кафедры травматологии и ортопедии Russian Federation

N. V. Zagorodny

ГОУ ВПО « Российский университет дружбы народов»

Email: fake@neicon.ru
д.м.н., профессор, заведующий кафедрой травматологии и ортопедии Russian Federation

V. G. Protsko

ГОУ ВПО « Российский университет дружбы народов»

Email: fake@neicon.ru
к.м.н., доцент кафедры травматологии и ортопедии Russian Federation

E. M. Sultanov

ГОУ ВПО « Российский университет дружбы народов»

Email: fake@neicon.ru
к.м.н., доцент кафедры травматологии и ортопедии Russian Federation

Z. K. Khamokov

ГОУ ВПО « Российский университет дружбы народов»

Email: fake@neicon.ru
к.м.н., ассистент кафедры травматологии и ортопедии Russian Federation

B. G. Butayev

ГКБ №79, Москва

Email: fake@neicon.ru
заведующий отделением ортопедии Russian Federation

References

  1. Рубашева, А.Е. Частная рентгенодиагностика заболеваний костей и суставов / А.Е. Рубашева. – Киев : Здров’я, 1961. – 536 с.
  2. Ситенко, М.И. Os tibiale externum и её отношение к плоской стопе / М.И. Ситенко // Ортопедия и травматология. – 1928. – Кн. 1–2. – С. 18–27.
  3. Турнер, Г.И. Об аномалиях мышечной механике при os tibiale externum и их оперативном лечении / Г.И. Турнер, Н.С. Маркелов // Ортопедия и травматология. – 1935. – Кн. 6. – С. 5–8.
  4. Dwight, T. Variations of the bones of the hands and feet: a clinical atlas / T. Dwigh. – Philadelphia : JB Lippincott Co, 1907.
  5. Geist, E.S. Supernumerary bones of the foot - a rоntgen study of the feet of one hundred normal individuals / E.S. Geist // Am. J. Orthop. Surg. – 1914. – Vol. 12. – P. 403–414.
  6. Francillon, M.R. Untersuchungen zur Anatomischen und Klinischen Bedeutung des Os tibiale externum / M.R. Francillon // Z. Orthop. Chir. – 1932. – Bd. 56. – S. 61–85.
  7. Mellado, J.M. Accessory ossicles and sesamoid bones of the ankle and foot: imaging findings, clinical significance and differential diagnosis / J.M. Mellado [et al.] // Eur. Radiol. – 2003. – Vol. 13. – P. L164–L177.
  8. Kidner, F.C. The prehallus (accessorius scaphoid) in its relation to flat-foot / F.C. Kidner // J. Bone Joint Surg. – 1929. – Vol. 11. – P. 831–837.
  9. Kitaoka, H.B. Clinical rating systems for the anklehindfoot, midfoot, hallux, and lesser toes / H.B. Kitaoka [el al.] // Foot Ankle. – 1994. – Vol. 15. – P. 349–353.
  10. Luther, M. Gastrocnemius recession: five-year report of cases / M. Luther, J.R. Strayer // J. Bone Joint Surg. – 1958. – Vol. 40-A. – P. 1019–1030.
  11. Pfizner, W. Die Variftionen im Aufbau des Fusskelets, morphologische Arbeiten / W. Pfizner //Morphol. Arb. – 1896. – Bd. VI. – S. 245–527.
  12. Schboder, P. Ueber seltenen anomalien u. Pathologische Bildungsformen am os naviculare pedis / P. Schboder // Beutsch. Ztschrft. Chir. – 1931. – Bd. 233. –S. 306.
  13. Tsuruta, T. Radiological study of the accessory skeletal elements in the foot and ankle (vertaald vanuit het Japans) / T. Tsuruta [et al.] // Nippon Seikeigeka Gakkai Zasshi. – 1981. – Vol. 55. – P. 357–370.
  14. Vogler, H. Subtalar joint blocking operations for pathological pronation syndromes / H. Vogler // Comprehensive textbook of foot surgery. – Baltimore : Williams & Wilkins, 1987. – Vol. 4. – P. 153–155.

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