ORIGINAL RESEARCH

Midterm severe forefoot deformity treatment outcomes in elderly patients

About authors

Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed: Alexey S. Abilemets
Ostrovityanov, 1, Moscow, 117997, Russia; аur.liam@stemelib

About paper

Author contribution: Egiazaryan KA — statement of the problem of managing the patients, manuscript editing; Ratyev AP — study concept, literature review, interpretation of the treatment outcomes; Miroshnikova EA — developing the study concept, theoretical justification of treatment, surgical treatment and monitoring of patients, data acquisition and analysis; Zhavoronkov EA — treatment of patients, postoperative management, assessment of medium-term treatment outcomes; Abilemets AS — surgical treatment, monitoring of patients, data acquisition and analysis, assessment of midterm treatment outcomes, manuscript editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of Pirogov Russian National Research Medical University (protocol No. 181 of 28 January 2018). All patients submitted the informed consent to study participation.

Received: 2023-02-02 Accepted: 2023-02-20 Published online: 2023-02-28
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  1. Bobrov DS, Slinyakov Lyu, Chenskij AD, Matvienko MI, Xlodaev MYu, Xurcilava ND. Rigidnyj 1-j palec stopy: klinika, diagnostika i lechenie (analiticheskij obzor literatury). Kafedra travmatologii i ortopedii. 2014; 3 (11): 4–12. Russian.
  2. Egiazaryan KA, Miroshnikova EA, Zhavoronkov EA, Ratev AP, Abilemec AS. Analiz rezul'tatov operativnogo lecheniya slozhnyx kompleksnyx deformacij perednego otdela stopy u pacientov starshej vozrastnoj gruppy. Politravma. 2021; 3: 46–53. Russian.
  3. Deenik A, Verburg A, Willem Louwerens J, de Waal Malefijt M, de Bie R. Evidence of Treatment Algorithms for Hallux Valgus. JSM Foot Ankle 1(1): 1003 (2016)
  4. Robinson AHN, Limbers JP. Modern concepts in the treatment of hallux valgus. J Bone Joint Surg. 2005; 87 (8): 1038–45.
  5. Mansur H, Cardoso V, Nogueira T, Castro I. Relationship between quality of life and radiological paraneters after hallux valgus correction. Acta Ortopedica Brasileira. 2020; 28 (2): 65–68.
  6. Muchna A, Najafi B, Wendel CS, Schwenk M, Armstrong DG, Mohler J. Foot problems in older adults associations with incident falls, frailty syndrome, and sensor-derived gait, balance, and physical activity measures. J Am Podiatr Med Assoc. 2018; 108 (2): 126–139. DOI: 10.7547/15-186.
  7. S/O K S RZE, Lee M, Chen J, Meng NYE. Do patients aged 70 years and older benefit from hallux valgus surgery? J Foot Ankle Surg. 2022; 61 (2): 310–13. Available from: https://doi.org/10.1053/j.jfas.2021.08.009.
  8. Fleischer AE, Yorath MC, Joseph RM, Baron A, Nordquist T, Moore BJ, et al. Impact of podiatry resident experience level in hallux valgus surgery on postoperative outcomes. J Surg Research. 2014; 189 (2): 262–7. Available from: https://doi.org/10.1016/j.jss.2014.03.005.
  9. Bock P, Kristen KH, Kröner A, Engel A. Hallux valgus and cartilage degeneration in the first metatarsophalangeal joint. The Journal of bone and joint surgery. British volume. 2004; 86 (5): 669–73. Available from: https://doi.org/10.1302/0301-620x.86b5.14766.
  10. Coetzee JC. Scarf osteotomy for hallux valgus repair: the dark side. Foot & Ankle international. 2003; 24 (1): 29–33. Available from: https://doi.org/10.1177/107110070302400104.
  11. Maceira E, Monteagudo M. Transfer metatarsalgia post hallux valgus surgery. Foot and ankle clinics. 2014; 19 (2): 285–307. Available from: https://doi.org/10.1016/j.fcl.2014.03.001.
  12. Solan MC, Davies MS. Revision surgery of the lesser toes. Foot and Ankle Clinics. 2011; 16 (4): 621–45. Available from: https://doi.org/10.1016/j.fcl.2011.09.002
  13. Herzog JL, Goforth WD, Stone PA, Paden MH. A modified fixation technique for a decompressional shortening osteotomy: a retrospective analysis. The Journal of Foot and Ankle Surgery. 2014; 53 (2): 131–6. Available from: https://doi.org/10.1053/j.jfas.2013.12.018.
  14. Solan MC, Davies MS. Revision surgery of the lesser toes. Foot and Ankle Clinics. 2011; 16 (4): 621–45. Available from: https://doi.org/10.1016/j.fcl.2011.09.002.
  15. Herzog JL, Goforth WD, Stone PA, Paden MH. A modified fixation technique for a decompressional shortening osteotomy: a retrospective analysis. The Journal of Foot and Ankle surgery. 2014; 53 (2): 131–6. Available from: https://doi.org/10.1053/j. jfas.2013.12.018.
  16. Schneider W, Knahr K. Surgery for hallux valgus. The expectations of patients and surgeons. International Orthopaedics. 2001; 25 (6): 382–5. Available from: https://doi.org/10.1007/s002640100289.
  17. Nixon DC, McKean RM, Klein SE, Johnson JE, McCormick JJ. Rheumatoid Forefoot Reconstruction in the Nonrheumatoid Patient. Foot & Ankle International. 2017; 38 (6): 605–11. Available from: https://doi.org/10.1177/1071100717696253.
  18. Giunta JC, Mouton T, Fessy MH, Besse JL. Rheumatoid forefoot reconstruction in nonrheumatic patients: lesser metatarsal head resection versus osteotomy. The Journal Foot and Ankle Surgeons. 2021; 60 (2): 252–7. Available from: https://doi.org/10.1053/j.jfas.2020.03.004.
  19. Goh GS, Tay AYW, Thever Y, Koo, K. Effect of age on clinical and radiological outcomes of hallux valgus surgery. Foot & Ankle International. 2021; 42 (6): 798–804. Available from: https://doi.org/10.1177/1071100720982975.