In the article, we discuss the first finger of the examination, the first finger of the first finger of indicators and the opposite instructions.What type of surgical removal of the bone, you will learn how to restore, what complications are possible.The first finger of the dress is the transaction of the valgus deformation.Tips for the operation of Valgus Deformation.The disease called Valgus deformity is familiar to many - this is the formation of a convex bone in the thumb of the foot.In addition to aesthetic attractiveness, this pathological suffering is threatening, in the first plus-Phalang of the leg to complete destruction.
Conservative methods are used in the early stages of development in the treatment - orthopedic correlators along with baths and ointments. If such therapy does not result, a person with valgus deformity determines a transaction of the deformation of the thumb. His type depends on the development rate of the disease, the patient's age and other general and local diseases, as well as the reasons for the reasons that cause degenerative changes.Tips when operation is required:
- The inefficiency of conservative therapy methods.
- Stage of pathology with 3 and 4 inflammation and severe pain.
- Degenerative tissue lesions.
When the articular fabric is finished, depending on the scene, the surgeon is choosing the type of operation with a valgus deformation of 1 finger.
Types of Valgus Deformation Operations
When a small image of the thumb is diagnosed, the operation is used only in soft tissues and tendons, to correct a flaw in bone tissues, or affecting a defect in bone tissues.In general, more than 3,000 surgical removal types of the bone - are the minimally invasive interventions of articular headings and even all combination by replacing it for easy correction and such delicate invasive interventions and artificial endoprostez.In the overlay of the merger, taking the operation of the first finger valgus deformity, taking into account the existence of the patient's general condition and other diseases.Deletion is carried out in the selection of the patient under local anesthesia or general anesthesia.
Mcbride
Operation McBride, other names: silver operation, tendon transfer, refers to minimally invasive interventions that affect soft tissues. In the process, the surgeon passes the tendon of the thumb muscles and the place of the plus.As a result, all the muscle-purseline balance, I and II, metatarsal bones are closer due to the formation of collecting muscles, which occurs very often the relaxation of the disease.In fact, this operation temporarily eliminates the pain and stops the development of deformation.
Serle
Seri osteotomy also applies to interventions in the interventions, the term is short. During this period, the first plus bone with the further correction of the bones with a knitting needle with a knitting needle. After the rehabilitation period, the first finger of the first finger of the foot, after the operation, then the effect of the operation, then the possibility of relapse.It's low.
Bar
Chevron or Chevrony V-shaped osteotomy (Chevron Osteotomie) or - a minimally invasive operation used without just minimal deformations (the displacement angle of the thumb, arthritis))). In this process, two small incisions are produced, ligaments and joint capsules are changed, the bone corn is removed, then Phalax is stable using Titan Term or titanium screw. If necessary, the wire or farewell are removed after 3 months.The whole operation is carried out under the control of EOP-Rantgen.The efficiency of the operation is high, relapse is rarely, but due to the complexity of the intervention and the requirements of the surgeon are rarely used.
Scarf
Scarf osteotomy (Scarf, Z-shaped), 1 plus bone of the leg is used for medium and heavy deformation, with an angle of 40 degree stretches. The process is carried from the bottom to a cut off the bottom of the lower bone.There is a z-shaped wedge and Phalaxi head is changed in the correct position.In parallel, the position of tendons and joint capsule is changed. This position is fixed with two miniature titanium screws.In most cases, they are not removed because the patient does not experience any concern.In the operation, this is the most commonly used operation in the diagnosis of the deformation of the thumb.Negotiations on rapid healing, minimum scarves, short rehabilitation period after surgery.The effect is excellent, long-term, relapse is extremely rare.
Arthrostres with valgus deformation
The closure of the Artrodesis or Lapidus - the closure of the medial joint is used in severe complex deformities, especially highly jointly jointly.This is a radical operation that is fully immobilized for the full immobilization of the collapse compound. To do this, the bones that occur are closely related to 2 titanium screws in a special form in a longitudinal situation. This complex operation is only used if other types are not able to give a positive result.After the arthrodes, deformation is completely eliminated, arthrosis and manifestations of pain disappear.The joint inactivity does not affect the patient's gait, but it is impossible to wear a lump shoe.Gradually, with the use of medication therapy and physiotherapy, the structure of the joint and leg is completely restored.The results are positive in 98% of the cases.According to opinions, radical valgus deformation of the third of the foot with arthrodetic surgery allows you to restore the functions of the foot in advance
Finger deformation operation
Apply for different rates of 2-5 fingers depending on the type of surgical intervention.This is the heads of metatarsal bones and phalanges (transpositions) and heads (tenotomy) heads (tenotomy) or heads (tenotomy), the heads (tenotomy), models, (tenotomy), (tenotomy), (tenotomy), (tenotomy), (tenotomy), (tenotomy),(osteotomy) Wilson).The correct position of the fingers was corrected with knitting needles or Herbertin screws.Any result in a long time can be obtained with 85% of the interventions in crooked fingers.Pain and anxiety decreases while wearing shoes or disappear completely.The deformation of the fingers of the fingers of the foot with this type of transactions gives a good cosmetic result.According to statistics, complications should not exceed 2-3% of surgical interventions.Forum cones dedicated to the thumb of the thumb of the foot is full of opinions of operations to remove cones.
Rehabilitation after surgery
The postoperative period is divided into several laps.The bed rest in the clinic lasts 2-3 days.After 5-6 hours after the operation, the development of the foot starts in 5-6 hours - the fingers move.On the third day, using Baroque special shoes and then use an orthopedic orthosis, using an orthopedic orthogy.Some operations (Arthrodis) can be extended to 10 days in the hospital.The second stage is the healing and restoration of the foot supporting function.It lasts from 3 to 6 months.In this case, the foot and ankle can be swelled.You have to rest as your feet have been removed to lighten the situation.Cool grass compress is also effective.One month - two, with the doctor's recommendation, you will have to walk with chicks to avoid cargo.Up to the recovery of the stitches, water procedures should be carried out by protecting the foot with a plastic bag.Physiotherapists are also appointed: electrophorez, shock wave therapy.Massage from a month before a month and physiotherapy exercises from the operation - begin to be used in 2 months.Most of this, the development of the foot, a training bike, swimming.To support the combination in the correct case, it is necessary to use a difficult night valgus tires.In the afternoon, orthopedic shoes are worn, the term is at least 3 months.Wearing a heel, 6 months before the operation is allowed before a height of not more than 4 cm.Sport can also start only 6 months after the deformation removal.
Reference to the operation
Restrictions in the surgical treatment of legged bones are not very wide:
- Pathologies of the vines - varicose veins 3 and 4 degrees, thrombosis, atherosclerosis;
- Diabetic foot;
- Oncology;
- Taşa infections and sharp inflammation.
What to remember
- With the bones in the legs, the conservative methods do not help or the disease is being launched, the operation is carried out.
- The effectiveness of transactions is high, complications are rare.
- The sooner the treatment will start how quickly the operation and rehabilitation is easier.