IMPROVING THE OPERATIVE TREATMENT OF FLATFOOT AND FLAT-WALGUS FOOT IN CHILDREN WITH MINIMALLY INVASIVE METHOD

Abstract

Flat feet in childhood is one of the most common reasons for using orthopedics. While the physiological mobile flat foot requires no active treatment and is prone to correction as it grows, flatfoot with a significant degree of flattening of the arch of the foot in most cases are the reason for the formation of degenerative changes in the joints of the foot with the development of persistent pain syndrome, reduced resistance to physical activity, deterioration in the quality of life of the patient. In the treatment of flat feet, preference is given to surgical methods. Attenuated arthroeresis is a minimally invasive technique used to correct the flattening of the longitudinal arch of the foot. This article analyzes this treatment method in children with flat-walgus deformation of the feet. The purpose of the study is to analyze the early and remote clinical and radiological results of treatment of children with flat-valgus deformation of the foot, operated on the basis of the technique of confirmed arthroeresis using a metal implant. An analysis of the results of treatment of 10 children with flat-walgus deformation of feet of different etiology, operated on the basis of the method of confirmed arthroeresis using a metal implant, was conducted. A total of 19 foot operations were performed. In all children, the flattening of the longitudinal arch of the foot was rigid, 8 (16 stop / 84.2%) children showed initial signs of degenerative-dystrophic changes in the joints of the foot. In most cases, when a metal implant is inserted into the sinus, it achieves the desired correction. The implementation of the technique of confirmed arthroeresis in the treatment of children with flat- valgus deformation of the feet allowed in most cases to obtain a good clinical and radiological result. The outcome of treatment was considered excellent in 89.5% of cases. Surgical correction made it possible to eliminate the use of expensive orthopedic shoes, to relieve pain syndrome during physical activity, to increase the submerged space, to obtain a stable sheer position of the calcaneal bone in the posterior part of the foot. Attenuated arthroeresis is a minimally invasive surgical intervention, allowing to achieve a more advantageous spatial ratio in the middle and back of the feet and relieve pain syndrome, abandon expensive orthopedic shoes in everyday life.