Аннотация
Hallux valgus is a frequent deformity causing pain and functional limitations. The absence of a single standard among the majority of surgical techniques remains a subject of ongoing clinical interest and of choosing the most effective operative solution. The аim of this study: To compare the long-term clinical and radiographic results of SERI osteotomy versus tendon-muscle plastic surgery (TMP) for hallux valgus correction over a 24-month follow-up.Methods.This single-center retrospectivestudy has included 60patients (111 feet) treated with SERI and 42 patients (77 feet) with TMP. Functional outcomes (AOFAS Hallux scale) and radiographic parameters (HVA, IMA, DMAA) have been assessed at baseline and at 3, 6, and 24 months.Results.Both groups showed significant functional improvement at 24 months (AOFAS: 55.32±9.80 to 79.46±15.28 in SERI; 56.26±10.02 to 83.57±13.49 in TMP; p<0.001). HVA improved in both groups, with significantly lower postoperative HVA in the SERI group atall follow-up points (p<0.05). IMA decreased significantly in both groups with no between-group differences. DMAA improved in both groups; postoperative DMAA values were lower in the TMP group at 3, 6, and 24 months (p≤0.001), though the overall change from baseline did not differ between the groups.Conclusion.Both SERI and TMP provide significant functional improvement (AOFAS scores) and effective radiographic correction at 24 months. While SERI achieved greater HVA correction and TMP resulted in lower postoperative DMAA values, functional outcomes and IMA correction were comparable between the techniques.Keywords:Hallux valgus, metatarsal, osteotomy, tendons/surgery, hallux varus.