In the article, we discuss the activity of the Valgus deformation of the first finger of the foot, indicated and contraindicated to perform it.You will find out the type of surgical removal of bone surgery, how to restore function, which complications may occur.The activity of the Valgus deformation of the first finger of the foot.Indicate the activity of Valgus deformation.The disease is called Valgus deformation that is familiar to many people - this is the formation of the bone in the thumb of the feet.In addition to the non -cosmetic appeal, this pathology brings significant suffering, is dangerous by the development of irreversible changes in the first phalang of the foot to its complete destruction.
In the early stages of development in treatment, conservative methods are used - orthopedic correlations combined with bathtubs and ointments. If the therapy does not bring results, a person deformed Valgus specifies the operation of the valgus deformation of the thumb. Its type depends on the degree of development of the disease, the age of the patient and the presence of general and other local diseases, as well as the causes of changes in joint degeneration.Indications when the operation is required:
- The inefficiency of conservative treatments.
- 3 and 4 stages of pathology with inflammation and severe pain.
- Degenerative tissue damage.
Depending on the stage, the fabric is joint, the surgeon-dnopopedist chose the type of activity with the Valgus deformation of a finger.
Types of Valgus deformation activities
When the thumb of the thumb is diagnosed, the activity is used only to contact with soft tissues and tendons, to adjust a defect in the bone tissue or with the combined effect.In total, there are more than 3,000 types of bone removal of bones - from easy to adjust and thus - with minimally invasive interventions to removal of joints and even all matches to the replacement of artificial intracellular processes.In addition to the degree of damage to the addition of joints, when choosing the activity of the Valgus deformation of the first finger, the general condition of the patient and the presence of other diseases is taken into account.Elimination is done under local anesthesia or under intravenous anesthesia - when choosing patients.
Mcbride
The McBride campaign, other names: Silver activity, tendon conversion, referring to minimally invasive interventions only affect soft tissues. During that process, the surgeon moves the tendons of the muscles of the thumb into the head of the I Plus bone.Therefore, the entire balance between the muscles of the foot changes and I and II, the methatarsal bone is closer due to the formation of the traction of the dial muscle, it cannot withstand the overload of the foot and the relapse often occurs.In fact, this activity only temporarily eliminates pain and suspense of development of deformation.
Seri
Seri bone cutting also refers to economical interventions, it is a short time. In this process, cutting away the a distance of the first plus bone (cone) with the extra determination of knitting bones, is taken through the thumb, is done. Next, a special boot for the prescribed rehabilitation time.The series of the Valgus deformation of the first finger of the foot, according to the assessment, gives a remarkable result, the postoperative stage is short, after you can switch to normal shoes.The long effect, the probability of recurrence is low.
Chevron
Chevrony v bone-shaped bone (Chevron Osteotomie) Osteotomie) OR-A minimal invasive activity is only used with small deformations (the movement angle of the thumb up to 17 degrees) and no simultaneous pathology (arthritis, arthrosis). In this process, two small cuts are produced, ligaments and joint capsules are transferred, corn bone is removed, then phalanx is fixed by titanium or titanium screws. If necessary, the wire or screw is removed after 3 months.The whole activity is carried out under the control of the Eop-lantgen.The effectiveness of activity is high, relapse rarely occurs, but due to the complexity of the intervention and the requirements of a very high surgeon expert, rarely used.
Scarf
Bone cutting (scarf, Z -shaped) is used for medium and serious deformation of 1 plus bones of the feet, with an angle of the finger up to 40 degrees. This process is done through a cut from the bottom to the bottom of the bone.There, a Z-shaped wedge is cut-and Phalanx head is transferred to the right position.Parallel, the position of the tendon and joint capsules are replaced. This position is fixed with two miniature titanium screws.In most cases, they are not extracted, because patients do not have difficulty.During surgery, this is the most commonly used activity in the diagnosis of Valgus deformation of the thumb of the feet.The assessment is about rapid healing after surgery, minimum towel, short rehabilitation time.The effect is great, long -term, recurrent is extremely rare.
The arising with Valgus deformation
Arthrodesis or Lapidus activity - intermediate closing is used in serious complicated deformations, accompanied by a particularly high movement ability.This is a thorough activity in which fully immobile of Clinovic joints. To do this, the bone formed it is closely connected by two titanium screws with a special shape in the vertical position. This complex activity is only used if other species cannot give positive results.After appearing, deformation is completely removed, the manifestations of muscle disease and aches disappear.The motility of the joints does not affect the patient's gait, but cannot wear shoes with high heels.Gradually, with the use of drug and physical therapy, the structure of the joints and foot is completely restored.The result is positive in 98% of cases.According to the evaluation, the radical Valgus deformation of the thumb of the foot with the activity of the nerve joints allows you to restore the functions of the foot even in advanced cases.
Finger deformed activity
Applicable to different levels of deformation of 2-5 fingers, depending on the type of surgical intervention is chosen.It could be an unacceptable intense removal of unacceptable joint spasms and vertical deformations of the limbs by prolonging and part of the soft tissue, modeling or completely removing the heads of the methatarsal bone.Wilson).The exact location of the fingers is fixed with knitting needles or screws of Herbert.The desired results for a long time can be achieved in 85% of interventions on curved fingers.Pain and discomfort when wearing shoes decreased or completely disappeared.Repair Valgus deformation of fingers with activities of this type for a good cosmetic result.According to statistics, the complications found no more than 2-3% of surgical intervention.The forum for the Valgus deformation of the thumb of the foot is full of assessments of the effectiveness of activities to remove cone.
Rehabilitation after surgery
Time after surgery is divided into several stages.Bed resting in the clinic lasting 2-3 days.It's been 5-6 hours after the surgery, the development of the foot begins - the finger moves.From the third day, you need to get up and walk using Barok's special shoes, and then orthopedic orthopedic, remove the load from the operating joints.With some types of activity (Arthrodesis), the time in the hospital can be lasting up to 10 days.The second phase is the healing and rehabilitation of the foot support.It lasts from 3 to 6 months.At this time, swelling of legs and ankles may remain.To reduce this situation, you need to relax with your feet.Cool grass is also effective.One month - two, according to a doctor's recommendation, you will have to walk with crutches to not load.Until the connected lines are healed, water processes should be done by protecting the foot with a forced plastic bag.Physiotherapists are also prescribed: electricity, shockwave treatment.Massage begins to be used not earlier than a month after surgery and physiotherapy exercises - after 2 months.Usually this is the development of the foot, a exercise bike, swimming.To support the joints in the right position, it is necessary to use hard night Valgus tires.During the day, orthopedic shoes are wearing, this term is at least 3 months.Wearing heels is not allowed earlier than 6 months after surgery, the height does not exceed 4 cm.Sports may also start only 6 months after eliminating deformation.
Contraindicated activities
The limitations in the treatment of bone surgery on the vacuum are very wide:
- The pathology of the vessels of the venous venous cheese 3 and 4 degrees, thrombosis, clearing atherosclerosis;
- Diabetes feet;
- Cancer;
- Pus infections and acute inflammation.
What to remember
- With bones on the legs, the activity is specified if conservative methods do not help, or the disease is given.
- The effectiveness of activity is high, complications are very rare.
- The earlier you start treatment, the easier it will work and recover.