The valgus deformation of the thumb of the foot is so common that in medical practice, you can have more than four hundred options for the operational solution to this problem.Of course, all interventions were not the same success and completely solved the problem of patients, so the most progressive options for intervention in modern practice are highly higher than the most progressive options.Today, the net valgus operation is in the focus of the intervention as low as low as low as possible with a good therapeutic effect.
Thing
The net valgus can also appear in children not only for adults.The formation of a cone on the leg of the thumb, in the early stage, a sharp pain, a choice of shoes, shoes, the patients do not disturb the patients until the problems of the periodic inflammation.At this stage, most patients try to eliminate pain with public methods.Different compressions and baths tighten the protection of the disease and cause the only true solution to the deformation of Valgus - surgery.
Tips for operation:
- growing pain in the thumb of the foot;
- Chronic inflammation that cannot stand;constant swelling;
- Damage to the skin in the curvature of Valgus (Cracks, Locks, Ulvers);
- PLAN MALGUS TRANSHIP with pronunciation curvature of the compound;
- Inability to help patients with conservative methods;
- appearance of a lame gait;
- To limit motor activity on their leg.
Doctors only treat Valgus's thumb, because most patients become the stage of the disease if most patients are not possible to correct the pathology conservatively.At the same time, if you do not start the treatment of their feet, as a result, the tuts will be redistributed to the other fingers, so the fingers will suffer from second to five.You can only prevent such complications with surgical intervention in time.
Preparation for intervention
Serious preparations are underway in Orthopedics during the operation to deform the municipality of the third of the leg.The patient takes all the necessary tests.Their key is a blood test, according to the results, it is important to rule out signs of the inflammatory process in the body.
In some cases, the standard list of analysis, doctors, doctors suspects the development of a malignant process at the bottom of the dentist, can be added to determining the level of hormones and markers for oncology.
Orthopedic surgery is a compulsory stage of X -Ray - during work, images are drawn in two forecasts to determine the nature of deformity and the violence of pathological disorders.
In difficult cases, doctors can apply to magnetic resonance or computer tomography.Such a job gives more accurate results.According to the analysis, doctors decide to be the best to carry out the operation.
Classification of surgical interventions
All transactions made by Valgus can be divided into two large groups - invasive operation and reconstruction interventions.Surgical interventions in the first type of foot are characterized by low trauma.
Operations are used limited - only in the initial stage of the development of the disease, if deformation is insignificant and can be easily produced by surgery.In all other cases, minimally invasive transactions do not solve the patient's problems.
Most of the minimum invasive interventions are carried out quickly and do not provoke complications.After such a transaction, the scars are minimal.The doctor consists of two-three punctures with no more than 0.5 cm.After these transactions, the skin is recovered very quickly and is up to two weeks for work.
During reconstructive interventions, the volume of damage to soft tissues is more important.However, there are great plus transactions, the legs of the feet are a significant deformation, but to help them to help with heavy curvature.The interruption of reconstructive intervention reaches four centimeters, located on the medial side of the foot.In such a operation, doctors completely restore the anatomical position of the third of the foot.
You can also review the operations depending on where they are implemented.Three groups differ in soft tissues in the interfering, bone texture and combined operation.While moving interventions into soft pieces, it is possible to eliminate Valgus deformation if not only the deformation of the ARCI.During such an intervention, the doctor only works with soft tissues - tendons, muscles, a bores.
It is possible to correct the second and third grade deformation with surgery in bone tissue.The intervention is to take part of the bone or osteotomy.With a combined operation, the intervention occurs both in soft tissues and bones.However, the opportunities of such a transaction are wider - doctors can simultaneously delete bone growth and do ligaments.
Operating methods
Several operational equipment can be eliminated in the legs, each of which is elected with its advantages and certain signs.
Operation McBride
McBraid with surgical intervention is carried only in the first interval range at the level of heads.Using clacks, the doctor emits soft pieces and makes the inter-flying ligament's cut on the surface.After that, the surgeon acquires access to the muscles responsible for the allocation of the first finger - it is a special sewing material - Vikril.
In addition, the doctor works with Sesam-Theraped bones, sesame-sesame-theraped, eliminated by subluxation, passed a deep bone.Then, the co-capsule of the Palthanx joint is broken on the outside surface, then the cut is corrected on the internal surface of about 5-6 cm long, nerves are directed to the side.
The splitting of the capsule was developed in the form of English V and directed to the top.From above and below the bone above, Homeman is removed from the hooks, and cartilage growth at the top of the metatarsal bone.If this was not done, patients will have a joint pain.
In the future, the development of the transaction may occur in two ways depending on the need for osteotomy.With osteotomy, it is necessary to use a negotiation to connect the tendon to bone fragments.In the final stage, the tissue of capsules is already removed, plastic with a certain tension is carried out, then the surgeon builds the edges of the wound and process the surface.
Such a technique was offered for more than eight years ago, but so far the operation has not lost its relevance.Therefore, after the intervention, after the operation, patients are recommended to wear special orthopedic shoes.
Seri Technique
The operation technique for the minimally invasive equipment of the server was offered by Surgeon Cesare Faldini in 1998.It is now actively used in the surgical experience of doctors of many countries.It is effective in the middle and average valgus curvature of the foot, in the initial stage of the development and the thumb stalk of the disease in the initial stage of the disease.
Speed!The operation is not carried out due to heavy arthrosis.In addition, patients can reject this type of intervention with the instability of the first metatarsophalangal compound.
The operation on the foot is carried out under local anesthesia.The doctor makes an incision in the start of the head of the head of the thumb bone, opening a joint capsule, holds osteotomy with a special file or chisel.In such a procedural process, you can achieve further distribution of the cargo in the distal part of the cargo.
In the operating process, doctors use Kirshner's knitting needle to create a correct position - they start the media of the surface in the field of saliva, and the doctor starts on the medial of the surface in a finger in manual mode and is in the correct position.The operation in the rehabilitation process requires a gypsum dressing - at least two weeks applied.The removal of negotiations is carried out in about 1-1.5 months.
Chevron technique
When the angle is less than 17 degrees, Chevron technique is used for small deformations.The main condition for the implementation of such an intervention is the lack of arthrosis and other serious changes in this leg.
The operation treatment is carried out as follows - at the initial stage, the doctor cuts the skin above the high-level combination of the pawn.The shortened links and the joint capsule are different.Tissue and ligaments generally provide degenerative changes to the deformation of the thumb.Together, the bone corn is removed using a chisel or file.
A cut in the metatarcal bone is a cut in the head level, changes outside and installed under the sesamoid bone.Then, with the help of screws or wires, Pharalix is added and the capsule is closed.After the operation, the titanium does not require removal of screws, but if this does not need to do it, remove the telin three months after the operation.
Disclosure technique
In most patients, you can remove the bone on the foot using scarf-oosteotomy.Such an operation is carried out with the temperate valgus deformation of the first finger of the leg.To date, the operation is the most universal way of valgus treatment, and has many advantages compared to other ways.
The positive aspects of the transaction are:
- In the process, it is possible not to switch, but also turn into a plus bone head, which allows you to get a progressive result than other surgical interventions;
- The doctor can be with an inadequate value of implementing a long-term procedure;
- With different deformation, you can change the bone on the medial side;
- To reduce the load in the inner part of the foot and the first finger area, you can transfer the bone to a little lower and side;
- If necessary, you can shorten the length of the bone;
- Bone elements may turn when pronounce the combination.
Surgical intervention is carried out under the spinal anesthesia.The surgeon in the foot is a cut to the beginning of the metatarsal bone from the beginning of the finger.After that, an incision in a zigzag is corrected on the side of the first finger, and then the bone head is directed to the desired place and angle.At the same time, the doctor changes the place of tendons that adhere to the thumb.
Then, the deformed joint capsule is separated from the edge and the bones are stable in the required situation using titanium screws.Typically, if they do not bring any inconvenience, then if patients and then go with screws, fasteners are not removed.After the operation, rehabilitation consists of three to six weeks.Immediately after the intervention, patients are recommended to wear a special oroz or tire where the foot should be downloaded as early as possible.The tire is always in a hurry while the recovery period passes.
Laser intervention
It is also possible to remove Valgus deformation with lasers, but patients should not expect such an operational method.Although the minimum and softest, only in the first stage of the development of the pathological process.
Survival advantage of surgery is a small cut that approaches the biggest point on the bones board.After healing, such an injury is practically, which allows you to restore the aesthetics of the foot as much as possible.With the use of a laser, doctors have the opportunity to intervene:
- The existing mestection is carried out - with the help of a laser, part of the cartilage growth that occurred in the early phase of Valgus;
- Osteotomy with a great cut - The first finger in the operation process was removed from the proximal PHALANX;
- Implement Disection ArthroPlasty - plus the articular surfaces of a part of the phalakhx of the bone and thumb are removed.
Laser removal is carried out in clinics where there are generally special equipment.The restoration is minimal after the operation - after a few weeks, patients can walk normally.
The only deficiency of the laser intervention is that the bone's wrong position is not corrected and only grows under the desired parameters.In this case, patients are threatened with relapse.
Arthodes
The operation is very rarely used to remove the valgus by arthrodes, but sometimes the only way of the patients are the only way to get rid of the great finger of the skirt.The operation applies to the most rooted methods of intervention.
With the help of such an operation, the first finger of the foot is possible to remove the basis of the Phalanx and the fingers can be fixed with special screws.
Important! During the operation, the main goal is achieved - eliminates deformation and gives the correct position in the joint, but after such surgery, all patients are not comfortable.
There are serious reflection instructions for interference:
- Vascular Atherosclerosis and other blood circulatory disorders;
- Diabetic foot;
- Polineuropathy.
With arthritis and arthrosis, the joints are very deformed, destroyed, constantly inflamed, patients can refuse to operate.In this case, patients will advise minimally invasive operation.
Among the complications of surgery, the following pathologies may be a violent pain, and worryes due to titanium fastener institutions installed in the bone.After the intervention, rehabilitation lasts eight weeks.Walking in the gypsum is only necessary in the first days following the operation - it is necessary to correct these elements.You can use Baroque boot.This is a specially designed orthopedic shoe that will produce the load from the operated leg.
Reviews
If the patient has a transaction to eliminate Valgus, you can read reviews and learn how effective of what kind of interference is.Here are a few similar ideas:
"Last year, I had to finish the ballerina's career due to the finger valgus deformity. They made a scarf for the meto, everything went well, but your leg is still painful."
"I have been suffering for a long time, but I dared to go to the operation. I made a complicated arthrodis.
"The bone on my feet, even my mother and grandmother suffered. The first signs of the operation decided to do the operation as soon as possible.
In most cases, valgus deformation transactions allow you to solve the bone problem in a person's finger.Do not postpone treatment when Valgus's first signs appear - the best results in the first stage of the development of the disease.