Differential approach to surgery method for hallux valgus treatment
The article presents the functional outcomes of the surgical treatment of 287 patients (463 feet) with hallux valgus. All the patients underwent an operative intervention using different methods for deformity correction. The following well-known techniques were used for correction: closing wedge osteotomy on first metatarsal, Scarf osteotomy, Austin osteotomy, Lapidus procedure and their combination with corrective osteotomy on the proximal phalanx of the hallux (Akin procedure). The choice of surgical procedure depended upon the individual characteristics of patients and indications for particular procedure. The excellent results were obtained in 68 patients (23.7 %), good ones in 159 patients (55.4 %) by AOFAS score scale.