Comparative evaluation of treatment results was performed for 122 patients, aged 1.5 - 18 years, with planovalgus foot deformity. Complex treatment included surgical intervention (modification of foot reconstruction by Kummer-Kouel-Ramsey, subtalar joint arthroereisis and two step combined technique) in combination with the method of functional biomanagment. Results were assessed at terms from 6 months to 4 years basing on the data of objective instrumental examinations (computed podography, roentgenography, electromyography) and the data on the international AOFAS system. It was stated that conservative treatment ensured stabilization of the condition and increase of mean point by AOFAS scale made up 5.82. In the same time complex treatment contributed to the restoration of osteoarticular interrelation and ensured functional competence. Mean estimate by AOFAS scale increased by 29.48 pointsin that group of patients. Positive results of complex anatomo-functional approach to the treatment of children withplanovalgus deformity enable to consider the proposed technique as a prospective one.
The comparative estimation of results of the closed and open elimination of a high congenital dislocation of a hip at children is spent is more senior 3 years. The result of treatment is estimated in 12 years.
From 2006 to 2010 we executed reconstructive operations on proximal part of a femur at 96 patients with illness Legg Calve Perthes aged 5-15 years. The analysis of results gives the chance expansions of indications for surgical correction and visually shows efficiency of rotational osteotomy in treatment of illness Legg Calve Perthes. The best functional results after rotational osteotomy had patients, who became reparative treatment using by functional biomanagement.
There was complex treatment of 72 children with planovalgus deformation, including surgical correction in combination of functional biomanagement in the postoperative period. The received results testify to necessity of use of the complex approach to treatment planovalgus deformation of feet for the purpose of formation adequate skill of walking in the postoperative period.