[Surgical correction of flatfoot]

The article presents results of treatment of 76 patients with transverse platypodia and the outward aberration of the first toe. In 55 of the patients (72.4%) plasty of the transverse fornix of the foot either with a vascular prosthesis or with a lavsan band was fulfilled parallel with the clinoid resection of the head of the first metatarsus. There were no recurrences of the disease in these patients during the period from 2 to 10 years, destruction of the bone in the area of a contact with the synthetic material being absolutely absent in 33 patients, who had vascular prosthesis used for the plasty. A narrow lavsan band was used in 22 patients and such destruction was revealed in 8 of them within 1-2 years. In 6 patients in whom only longitudinal marginal resection of the head of this bone with exostosis had been fulfilled a recurrence of the disease appeared in all the patients. Clinoid resection of the bone head was performed additionally in 12 patients. Recurrences were revealed in 4 of them. Good functional effect was obtained in 19 patients with a longitudinal platypodia due to the developed method of shifting the tendon of the anterior tibial muscle onto the inner part of the foot.