Zhanaspayev A, Bokembayev N, Zhanaspayev M, Tlemissov A, Aubakirova S, Prokazyuk A. Correction method for moderate and severe degrees of hallux valgus associated with transfer metatarsalgia. World J Orthop 2024; 15(3): 238-246 [PMID: 38596187 DOI: 10.5312/wjo.v15.i3.238]
Corresponding Author of This Article
Marat Zhanaspayev, MD, Attending Doctor, Chief, Senior Lecturer, Senior Scientist, Department of Traumatology and Paediatric Surgery, Non-Commercial Joint-Stock Company “Semey Medical University”, 103 Abai Kunanbayev Street, Semey 071400, Kazakhstan. marat_zhanaspaev@mail.ru
Research Domain of This Article
Orthopedics
Article-Type of This Article
Clinical Trials Study
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Zhanaspayev A, Bokembayev N, Zhanaspayev M, Tlemissov A, Aubakirova S, Prokazyuk A. Correction method for moderate and severe degrees of hallux valgus associated with transfer metatarsalgia. World J Orthop 2024; 15(3): 238-246 [PMID: 38596187 DOI: 10.5312/wjo.v15.i3.238]
Amangasy Zhanaspayev, Department of Traumatology and Orthopaedics, The National Scientific Center of Traumatology and Orthopaedics Named after Academician Batpenov ND, Astana 010000, Kazakhstan
Nurlan Bokembayev, Marat Zhanaspayev, Sabina Aubakirova, Department of Traumatology and Paediatric Surgery, Non-Commercial Joint-Stock Company “Semey Medical University”, Semey 071400, Kazakhstan
Aidos Tlemissov, Department of Habilitation and Rehabilitation, Center of Habilitation and Rehabilitation of Persons with Disabilities of the Abai Region, Semey 071400, Kazakhstan
Alexander Prokazyuk, Department of Anaesthesiology and Resuscitation, Center of Nuclear Medicine and Oncology, Semey 071400, Kazakhstan
Author contributions: Zhanaspayev A and Bokembayev N contributed to the patient selection and main surgeon; Zhanaspayev A, Bokembayev N, and Aubakirova S were involved in the data collection; Zhanaspayev A contributed to the idea; Bokembayev N took part in the draft writing; Tlemissov A and Aubakirova S contributed to the patient rehabilitation; Zhanaspayev M was involved in the conceptualization and supervision, statistical analysis; Zhanaspayev M and Prokazyuk A contributed to the final writing.
Institutional review board statement: The study was reviewed and approved by the Local Ethics Committee of NCJSC “Semey Medical University” (Semey, the Republic of Kazakhstan) according to protocol #2 on October 25, 2018.
Clinical trial registration statement: This study was registered at Semey Medical University (Semey, Kazakhstan) with a registration ID of 05-5798 as of December 7th, 2018. No URL is available.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Corresponding author: Marat Zhanaspayev, MD, Attending Doctor, Chief, Senior Lecturer, Senior Scientist, Department of Traumatology and Paediatric Surgery, Non-Commercial Joint-Stock Company “Semey Medical University”, 103 Abai Kunanbayev Street, Semey 071400, Kazakhstan. marat_zhanaspaev@mail.ru
Received: October 22, 2023 Peer-review started: October 22, 2023 First decision: December 28, 2023 Revised: January 7, 2024 Accepted: February 29, 2024 Article in press: February 29, 2024 Published online: March 18, 2024 Processing time: 145 Days and 1.2 Hours
ARTICLE HIGHLIGHTS
Research background
Until now, the treatment of hallux valgus (HV) is considered by many clinicians as an isolated problem of the forefoot, while the deformation of the first toe brings with metatarsalgia, Tailor’s bunion, and hammer toe deformity. An important step is the comprehensive elimination of all the existing problems to achieve satisfactory clinical results.
Research motivation
In our study, all existing pathologies in the Lisfranc joint were eliminated simultaneously.
Research objectives
The main objective was to decrease the key angles [HV angle (HVA) and intermetatarsal angles (IMA)] and plantar callosities using a modified Lapidus procedure.
Research methods
We did a Clinical Trials Study involving 30 patients in the setting of a regional traumatology and orthopaedics centre in Kazakhstan.
Research results
The modified Lapidus procedure with intraoperative utilization of the developed external device led to a decrease in HVA, IMA, and M1M5 with correction of splayfoot and pain reduction. There was also improvement in the position of the medial sesamoid bone in each operated foot.
Research conclusions
The method used was promising and demonstrated the absence of significant drawbacks in a small sample size.
Research perspectives
Further randomized controlled trials are required to assess effectiveness in large samples.
