PROBLEMS OF DIAGNOSIS AND SURGICAL TREATMENT OF HALLUX VALGUS (LITERATURE REVIEW)

Abstract

Treatment of valgus deformity of the first toe is today one of the intensively developing areas of modern orthopedics. The complexity of treatment of this pathology is predetermined, first of all, by its multicomponent nature. Forefoot deformities are often the main cause of a decreased quality of life, which makes the patient irritable, inactive, and also makes it impossible to use standard footwear, and sometimes even orthopedic one. The purpose of our study was the analysis of scientific literature devoted to the problems of diagnosis and surgical treatment of valgus deviation of the 1st toe (hallux valgus). The materials of the study were domestic and foreign articles, reviews and monographs on the surgical treatment of hallux valgus, with mandatory analysis of long-term treatment outcomes. The history of the development of treatment of this pathology is presented with the analysis of surgical treatment methods aimed at different links of pathogenesis, as well as complications arising from the use of different techniques. The article presents modern trends in development and ways to improve the methods of surgical treatment of valgus deviation of the first toe. The analysis of the literature data showed significant success in the surgical treatment of valgus deviation of the first toe. However the current percentage of relapses may be due to the lack of an accurate method for determining proximal articular set angle (PASA) in the preoperative period, as well as the lack of the hallux valgus treatment able to eliminate valgus deviation of the first toe and avoid recurrence of the disease due to a more accurate correction of PASA.

Keywords

• hallux valgus
• proximal articular set angle (pasa)