Aim. To evaluate the efficiency of treating patients with orthopedic foot diseases for previous 30 years, including treatment using high technology methods. Methods. 700 patients aged from 16 to 85 years underwent surgical treatment. All foot state parameters were scored using a 10-point grading system. To specify the transversal arch parameters, computed tomography and magnetic resonance tomography were performed. To assess the general condition of the foot, vascular ultrasound, electroneuromyography, biomechanical examination using ink print mats and podometry. In treating patients with hallux valgus in most of the cases (55%) straightening surgery of first metatarsus partial removal at proximal epiphysis was preferred. First metatarsophalangeal endoprosthesis, orhtopedic casts and various types of osteotomy for hallux valgus straightening were also used. Results. Patients had the mean total foot condition score at 31.3 points (normal range is upper than 50) indicating grade II-IV, after the surgical treatment the mean total foot condition score was 46.7 points in 91.6% of treated patients. Inappropriate staging of surgical treatment has leaded to inadequate treatment outcomes, in particular, surplus caput osteotomy of first metatarsus leaded to first metatarsophalangeal joint osteoarthritis progression and to hallux varus development. Conclusion. Appropriate pre-surgical planning and use of high technology methods of surgical treatment allows to compensate even advanced foot deformities.

Experience in operative treatment of marginal acetabular fractures is presented. There were 47patients. Specific radiologic criteria determining the indications to osteosynthesis and choice of adequate approach to the hip joint were clarified. In 13 patients with old and comminuted fractures osteosynthesis was performed in combination with bone autoplasty. In 45 patients long-term results were observed in the period from 1 to 4 years. Despite the fact that most of patients (29) were operated on in the late terms (more than 2 weeks after trauma), 60% of patients had good and satisfactory outcomes.

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The peculiarities of the course of infected pseudoarthroses of the tibia using the extrafocal fixation method are studied, as well as laws of the origin of postoperative complications in this category of patients are revealed. The selection analysis data of patients show the significant discrepancy between the outcome structure and number of postoperative complications and the data given by other authors. At the same time these data on complications correspond or slightly below the data of foreign clinics. Since the data presented are obtained during long-term selection analysis of patients with infected pseudoarthroses treated in specialized clinics they sufficiently show the course of this disease using extrafocal osteosynthesis.