The valgus deformation of the thumb of the feet is so popular in the medical practice, you can count more than four hundred options for the solution of this problem.Of course, not all interventions are the same and completely solve the problem of the patient, so in modern practice, the most advanced options for intervention are still there, in which the chances of recovery of the patient are very high.Today, Khalus Valgus activity focuses on lower invasion that can combine with the good treatment effect of intervention.
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Khalus Valgus is a problem not only for adults, it can also appear in children.The formation of a cone on the thumb at the initial stage does not bother the patient until a strong pain occurs when walking, problems with choosing shoes, periodic osteoarthritis.At this stage, most patients are trying to relieve pain with folk methods.Different compressions and baths only tighten the process of the disease and lead to the only true solution of Valgus deformation - surgical intervention.
The indication of the activity is:
- Increased pain in the thumb of the feet;
- Chronic inflammation, cannot stop, continuous swelling;
- Damage to the skin in the curvature of Valgus (cracks, support, ulcers);
- Plana Valgus feet with a clear curvature of the thumb joint;
- inability to help patients have conservative methods;
- the appearance of a limp;
- The operating limit of the engine in the foot.
Doctors emphasize the treatment of Valgus, the exclusive thumb of surgery, because most patients turn to the stage of the disease when they cannot adjust the disease in a conservative way.At the same time, if you do not start treating bones on your feet, it will eventually lead to the distribution of the load on other fingers, which is why the fingers will suffer from pain and bend from Monday to Thursday.Only with timely surgical intervention can avoid such complications.
Prepare for intervention
In the process of operating for the Valgus deformation of the thumb joint of the feet, the serious preparation is taken in orthopedic.Patients conduct all necessary tests.Their key is blood test, according to the result of the important thing to eliminate the signs of the inflammatory process in the body.
In some cases, the list of standard analysis may be added by determining the degree of hormone and signs for cancer if doctors suspect the development of a malignant process in the foot.
A mandatory phase in orthopedic activities is the diagnosis of X -Ray - During the research, the image is taken in two projections to determine the nature of the deformation and the severity of pathological disorders.
In difficult cases, doctors can use magnetic resonance or computerized tomography.Such a study gives more accurate results.According to the analysis, the doctors decide the best way to perform the activity.
Classification of surgical interventions
All activities performed by Valgus can be divided into two large groups - an invasive activity and regenerative intervention.The first type of surgical intervention is characterized by low injuries.
The activity is limited - only in the initial stage of the development of the disease, if deformed is negligible and with the benign development of cartilage, easily removed through surgery.In all other cases, minimally invasive activities do not solve patient problems.
Most minimal invasive interventions are done quickly and does not cause complications.Scarring after such operation is minimal.The doctor performed from two to three puncture, the length did not exceed 0.5 cm.After these activities, the skin is recovered very quickly and the time is not capable of working up to two weeks.
In regenerated interventions, the mass of damage to soft tissues is more important.However, a big plus point of activities is that they help eliminate even a significant deformation of the foot and help with serious curvature.The incision in regeneration intervention reaches four centimeters, it is located on the intermediary of the foot.With such surgery, the doctors completely restored the anatomical position of the thumb of the feet.
You can also consider the activities depending on the position they are performed.The three intervention groups are distinguished - on soft tissues, on bone tissue and combined surgery.When conducting interventions on soft fabrics, Valgus deformation can only be removed only without the deformation of the plus bone tip.During such intervention, the doctor works exclusively with soft tissues - tendons, muscles, a Borses.
With surgical intervention into bone tissue, it is possible to adjust the deformation of the second and third levels.Interventions are part of the bone or bone removal.With a combination activity, intervention occurs both in soft tissues and bones.But the ability of such surgery is wider - doctors can simultaneously eliminate bone growth and create ligaments.
Operating technique
Some operating techniques can be removed on the foot, each technique has its own advantage and is selected with certain instructions.
McBride activity
With surgical intervention, McBraid was performed during the first Inter -Flood period only at the head level.Using clip, the doctor spreads soft fabrics and creates an Inter -Flood ligament, located on the surface.After that, the surgeon had access to muscle tendons, responsible for allocating the first finger - it was mobilized and stitched by a special stitching material - Vikril.
Moreover, the doctor working with Sesam -shaped bone, he overcame a deep bundle attached to the Sesam -shaped bone, removed by its sublimation.After that, the capsules of the Plusnephalanx joint were dissected on the outer surface, then the incision was performed on the inner surface of the feet about 5-6 cm long, the nerve was released through it and it was shifted to the side.
The dissection of capsules is done in the form of V English, and its peak is directed into the thumb.From the top of the bone and below it, Homeman's hook is removed below it, the development of cartilage on the methatarsal bone is removed.If this is not done, the patient in the future will have pain in the joints.
In the future, the development of activity can take place in two ways, depending on the need to remove bones.With bone removal surgery, a speech is needed to be attached to bone pieces.At the end, the excess tissue of capsules is removed, plastic with a certain tension of the tissues performed, then the surgeon sew the sides of the wound and its surface treatment.
Such a technique has been proposed for more than eight decades ago, but to this day, the operation is not relevant.Therefore, after intervention there is no recurrence, after surgery, the patient is recommended to wear special orthopedic shoes.
Seri technique
The minimal invasive technique of the series was proposed in 1998 by surgeon Cesare Faldini.Now it is also actively used in the surgery practice of doctors of many countries.It refers to the low and effective processes at the initial stage of the development of the disease and with the moderate Valgus curvature of the foot, when the irregular angle of the thumb of the foot is not exceeding forty degrees.
Authority to settle!Activities are not performed due to serious arthritis.In addition, the patient may refuse this type of intervention with the instability of the first Metatarsophalange joint.
Activities on the foot are performed under local anesthesia.The doctor performed a incision in the projection of the plus bone head of the thumb, opened the joint capsule, conducted a bone surgery with a special file or chiseled.In the process of such a procedure, you can achieve a further distribution of the load of the remote part of the plus bone.
During the surgery, the doctors use Kirshner's knitting needles to create the exact position of the thumb - they start on the intermediary of the surface in the plucking direction, then the doctor carries a finger in manual mode and places it in the right position.Operating during the rehabilitation process requires plaster clothes - it is applied for at least two weeks.The elimination of voice is done after about 1-1.5 months.
Technical Chevron
Chevron technique is used for small deformations if the angle is less than 17 degrees.The main condition for such an intervention is to lack muscle disease and other serious changes that Valgus of the feet provocates.
Active treatment is done as follows - at the initial stage, the doctor cut the skin right above the foot of the foot.The shortened connections and the joints are distinguished.Usually changing degeneration in tissues and ligaments causes deformation of the thumb.Corn Bone on the joint is removed by opaque or file.
On the methatarsal bone, a incision is performed at the head level, it moves outside and is installed under the sesame bone.Then, with the help of screws or wires, Phalanx is attached and the capsules are closed.After surgery, titanium screws do not require removal, but they remove the three months after surgery, if not need to do this earlier.
Scarf technique
In most patients, you can remove bones on your feet using a scarf.Such activity is done with the moderate Valgus deformation of the first finger of the foot.So far, the activity is the most universal Valgus treatment method, it has many advantages compared to other methods.
The positive aspects of the activity are as follows:
- In this process, not only can change, but also to rotate the head of the plus bone, allowing you to achieve more progressive results than other surgical interventions;
- The doctor may be with an inadequate value of the prolonged process;
- With changing deformation, you can change the bone on the intermediary;
- To reduce the load on the inside of the feet and the first finger area, you can move a little bit down and aside;
- If necessary, you can shorten the length of the bone;
- When joint pronunciation, bone elements can be rotated.
Surgical intervention is performed under spinal anesthesia.The surgeon inside the feet performed a cut from the tip of the finger to the tip of Metatarsal.After that, a zigzag incision was performed next to the bone of the first finger, then the bone was transferred to the desired position, its angle changed.At the same time, the doctor changes the position of the tendons, attached to the thumb.
After that, a deformed joint capsule is separated from the outside and the bone is fixed in the necessary position using titanium screws.Typically, screws are not removed, if they do not bring any discomfort, then patients and then go with screws.Rehabilitation after activity takes three to six weeks.Immediately after the intervention, the patient is recommended to wear orthopedic or special tires, which need to load the foot as soon as possible.The tire is rushed at all times while the recovery time passes.
Laser intervention
The removal of Valgus deformation with laser is also possible, however, patients should not hope for such a surgical method.Although it is the minimum and lightest, it is used exclusively at the early stages of the development of pathological processes.
A solid advantage of surgical intervention is a small incision in size, which doctors create near the biggest point in the bone edge.After healing, such an injury is actually not noticeable, this allows you to restore the aesthetics of the foot as much as possible.With the use of lasers, doctors have the opportunity to conduct limited intervention:
- The surgery existed - with the help of laser, part of the cartilage growth was removed, formed in the early stages of Valgus;
- Making bone surgery with a large cut - During the surgery, the close phalanx of the first finger is removed;
- Performing joint removal surgery - the joint surface of the bone and part of the thumb phalanx is removed.
Laser removal is usually done in clinics where special equipment.Recovery after surgery is at least - for a few weeks, the patient may walk normally.
The only limitation of laser intervention is the inaccurate position of the bone is not subject to adjustment and it only develops according to the desired parameters.In this case, the patient is threatened to relapse.
Arthritis
Activities to remove Valgus by arising are rarely used, but sometimes this is the only way for patients to escape from the large finger of the feet.Activities belong to the most thorough intervention methods.
With the help of such surgery, it is possible to eliminate the base of the phalanx of the first finger of the foot and repair the fingers with special screws.
IMPORTANT! During the surgery, the main goal is achieved - eliminating deformity and giving the joints accurate, but not all patients become comfortable after such surgery.
There are serious contraindications to intervene:
- Vascular atherosclerosis and other circulatory disorders;
- Diabetes feet;
- Polyneuropathy.
With arthritis and arthritis, patients may also refuse surgery if the joints are deformed, destroyed, constantly inflamed.In this case, patients will advise minimally invasive surgery.
Among the complications of surgical intervention, the following diseases may occur pain and discomfort due to titanium tied structures installed in the bone.Rehabilitation after eight weeks of intervention.Walking in plaster is only necessary in the first days after surgery - this is necessary to repair the factors.You can use Baroka boot.This is a specially designed orthopedic shoe that will remove the load from the active foot.
Evaluate
If the patient has an activity to remove Valgus, he can read the reviews and find out what kind of intervention is made and their effectiveness.Here are a few similar ideas:
Last year, I had to complete Ballerina's career due to the Valgus deformation of my finger.They have created a towel by the method, it seems that everything goes well, but the legs still hurt at the load level.
I had suffered for a long time for a long time, but I did not dare to go to surgery.I have been performed a complicated joint pain, it takes more than two and a half months, but after the surgery becomes much easier.Now I can walk without pain and pain."
The bone on my leg is inherited - even my mother and my grandmother have gout.I decided to perform activities as soon as the first signs appeared.The activity is using lasers, all the growth given to me, now the foot has a normal view, but the doctors say it may recur.
The deformation activities of Valgus in most cases allows a bone problem solving person on the finger.When the first signs of Valgus appear, no postponement of treatment - the best results appear at the early stages of development.