Open AccessSurgical tactics for elderly patients with deforming arthrosis of first metatarsophalangeal joint of foot
Author(s) -
А Е Токарев,
Токарев Александр Емельянович,
V G Kozyukov,
Козюков Владимир Григорьевич,
N. B. Schekolova,
Щеколова Наталья Борисовна,
Ya. V. Nenakhova,
Ненахова Яна Вячеславовна
Publication year - 2019
Publication title -
permskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2687-1408
pISSN - 0136-1449
DOI - 10.17816/pmj36131-34
Subject(s) - medicine , stage (stratigraphy) , deformity , metatarsophalangeal joints , foot (prosody) , surgery , rehabilitation , quality of life (healthcare) , physical therapy , paleontology , linguistics , philosophy , nursing , biology
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.