SERI-osteotomy as one of the methods for surgical treatment of hallux valgus deformity

Abstract

The problem of surgical treatment of hallux deformity has not lost its relevance to date. Purpose. To study the results of using little-invasive SERI-osteotomy surgery for hallux valgus deviation treatment. Materials and Methods. 34 patients at the age of 30-55 years (29 females and 5 males; 58 feet) underwent surgery in Traumatology Department of RCH No 1 within the period from December, 2011 to March, 2014 for hallux valgus. All the patients underwent SERIosteotomy of the first metatarsal bone. Among them, there were 27 patients (42 feet) with HVA below 40 degrees and IMA below 20 degrees, and 4 patients (8 feet) – with HVA above 40 degrees and IMA – above 20 degrees. Oblique osteotomy with the first metatarsal bone lengthening was performed in four patients (6 feet), and transverse osteotomy without lengthening – in one patient (two feet). Results. Two months later clinical signs of bone fragment union were observed in 24 patients. The union was considered satisfactory by the results of X-ray examinations in 13 patients, it was considered poor – in 15 ones. There were no signs of union in three patients. Three patients were lost for follow-up. Correction was considered satisfactory in all the patients. All the patients were satisfied with the results of surgery. Long-term results of treatment were scored by AOFAS scale. At the fourth month of observation treatment results were considered as excellent in 22 patients (95-97 points), as good – in 23 patients (80-92 points), as satisfactory – in 10 patients (72 points). Conclusion. SERI-osteotomy for hallux valgus correction can be proposed as one of the little-invasive and efficient techniques of surgical treatment, and its further more careful study is required.