Аннотация. С позиций персонифицированного подхода изучили результаты хирургического лечения 297 больных с поперечным плоскостопием и вальгусным отклонением первого пальца. У 51 человека деформация была односторонней, у 246двухсторонней. Оперативные вмешательства выполнили на 543 стопах. В 79,9% клинических наблюдений выраженность деформации соответствовала второй и третьей степени. В 87,7% хирургическое вмешательство было многокомпонентнымвключало одновременное выполнение на одной стопе операций нескольких видов. До операции отличных показателей шкалы AOFAS не было. В большинстве клинических наблюдений эти показатели являлись удовлетворительными. Через шесть месяцев число отличных показателей составило 73,2%, хороших-24,8%. Их констатировали при каждой степени деформации. Удовлетворительные показатели регистрировали только при второй и третьей степени. Через один год число отличных и хороших показателей уменьшилось до 71,5% и 20,0%. При этом возросло число удовлетворительных и плохих показателей, но только при второй и третьей степенях деформации, что связано с развитием рецидивов. Своевременная диагностика и хирургическая коррекция гипермобильности первого плюснеклиновидного сустава, как одной из причин рецидивов, позволила уменьшить их число с 9,5% до 2,9%. Ключевые слова: плоскостопие, вальгусное отклонение первого пальца, результаты хирургического лечения. Annotation. The results of surgical treatment of 297 patients with transverse flatfoot and hallux valgus were studied from the standpoint of a personalized approach. 51 human deformity was unilateral, 246-two-way. Surgical interventions were performed on 543 feet. In 79,9% of clinical observations the severity of deformation corresponded to the second and third degree. In 87,7% of the surgical intervention was multi-component-it included simultaneous execution of several types of operations on one foot. Before the operation, there were no excellent indicators of the AOFAS scale. In most clinical cases, these indicators were satisfactory. After six months, the number of excellent indicator accounted for 73,2%, good with 24,8%. They were stated at each degree of deformation. Satisfactory indicators were recorded only in the second and third degree. After one year, the number of excellent and good indicators decreased to 71,5% and 20,0%. This increased the number of satisfactory and poor performance, but only in the second and third degrees of deformation, which is associated with the development of relapses. Timely diagnosis and surgical correction of hypermobility of the first tarsometatarsal joint, as one of the causes of relapses, reduced the number from 9,5% to 2,9%.

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Introduction One of the most common causes of revision hip arthroplasty is aseptic instability of the primary implant. The acetabular component of the implant is less stable, even if fixed with bone cement. Two merits of cemented replacement are important for practical activity of an orthopaediс surgeon: its need for elderly patients and its low cost. In this regard, it is important to predict aseptic instability of the acetabular component and increase its survival by improving the methods of cemented fixation. Purpose To develop a method of predicting the probability of revision hip arthroplasty with replacement of the acetabular component. Materials and methods We studied 102 patients who underwent total cemented hip arthroplasty. Six clinical and radiological criteria were identified associated with revision after 10 years using a multifactorial pathometric analysis. Results A system was developed that allows integral calculation of the probability of revision hip arthroplasty with replacement of only the acetabulum component. The retrospective analysis confirmed the prognosis in 83.3 % of clinical cases. Conclusion The method proposed for prediction allows for a differentiated approach to cemented fixation of the acetabular component in primary arthroplasty, minimizing the probability of revision in 10 years.