In the article, we discuss the valgus deformation of the first finger of the foot, the signs of its implementation and the contraindications.You will find out what type of surgery exists to eliminate bones, how recovery is done, and what complications may occur.The operation of the first finger of the foot to deform.Operation instructions for peripheral deformation.Many people are familiar with a disease called valgus deformation - this is the formation of the toe on the toe.In addition to aesthetic unattractiveness, this pathology also brings great pain, which is dangerous due to the first step plus the irreversible change of the foot until it is completely destroyed.
In the early stages of the treatment process, a conservative approach was used - orthopedic-related factors were used in combination with bathroom and ointments.If this therapy does not bring any results, people with valgus deformation prescribe the operation of valgus deformation of the thumb.Its type depends on the degree of disease development, the age of the patient, and the presence of other general and local diseases, and the causes of joint degenerative changes.When is it necessary to operate:
- Conservative treatments are inefficient.
- Stages 3 and 4 of the pathology, inflammation and severe pain.
- Degenerate tissue lesions.
Depending on the stage of joint fabric compliance, the surgeon chose the type of operation for the surgeon to use an extroverted deformation of 1 finger.
Types of tilt deformation operations
When a thumbnail is diagnosed, this operation is only used to expose on soft tissues and tendons to correct defects in bone tissue or have a combined effect.Overall, from easy correction and what is known as minimally invasive intervention to resection of the joint head, and even the entire joint, replacing the artificial endometrial prosthesis, there are more than 3,000 types of surgery to eliminate bones in total.In addition to choosing the operation of valgus deformation of the first finger, in addition to the degree of damage to the joints, the patient's general condition and other diseases are present.Resection under local anesthesia or under general intravenous anesthesia - select the patient.
McBride
McBride operation, other names: silver operation, tendon transposition, refers to minimally invasive interventions that only affect soft tissue.During this process, the surgeon moves the muscles of the thumb to the head of the I Plus bone.As a result, the entire muscle balance of the foot changes, while I and II, due to the traction of the dialing muscle, it cannot withstand the overload of the foot, and recurrence of the disease occurs frequently.In fact, this operation will only temporarily eliminate the pain and pause the development of deformation.
Seri
Seri osteotomy also refers to the preservation of interventions, which lasts very short.During this process, the distal cut of the first bone-added (cone) is performed and the bone is further fixed to the bone (inserted through the thumb).Next, special boots were assigned during the recovery period.According to the comments, the serum operation of the valgus deformation of the first finger of the foot gives a clear result, and the postoperative time is short, after you can switch to a regular shoe.The effect is very long and the probability of recurrence is very low.
Herringbone
Herringbone or glyph V-shaped osteotomy (Chevroleotomy) or minimal invasive operation is only used for smaller deformations (the angle of thumb displacement is up to 17 degrees), without the accompanying pathology (arthritis, arthritis, arthritis).During this process, two small incisions were created, ligaments and joint capsules were moved, bone corn was removed, and the Franks were then secured using titanium wire or titanium screws.If necessary, remove the wire or screws after three months.The entire operation is carried out under the control of EOP-rantgen.This procedure is highly effective and rarely occurs, but is rarely used due to the complexity of the intervention itself and the requirements of the surgeon's very high qualifications.
scarf
Scarf osteotomy (scarf, Z-shaped) is used for moderate and severe forms of deformation of 1 plus foot bone, with the inclination angle of the finger at 40 degrees.The process is performed by cutting from under the foot to the bottom of the bone.There, cut out a Z-shaped wedge and move the Phalanx head to the correct position.In parallel, replace the positions of the tendon and joint capsule.This position is fixed with two miniature titanium screws.In most cases, they are not extracted because the patient does not have any discomfort.In surgery, this is the most commonly used procedure when diagnosing valgus deformation of the toe.Comments Talk about quick recovery after surgery, minimal scarf, short recovery period.The effect is excellent, and long-term recurrence is extremely rare.
Arthroplasty and valgus deformation
Arthrofixation or lapidus operation - The closure of the medial joint is used for severe complex deformations accompanied by particularly high joint mobility.This is a free radical operation in which complete fixation of the slash joint is performed.To this end, the bones that form their bones are closely connected by two special-shaped titanium screws in longitudinal position.This complex operation is only used if other species cannot give positive results.After joint fixation, deformation is completely eliminated and the manifestations of joints and soreness disappear.The immobility of the joints will not affect the patient's gait, but it is impossible to wear high heels and shoes.Gradually, with the use of drug therapy and physical therapy, the structure of the joints and feet was fully restored.The results were positive in 98% of cases.According to the comments, the fundamental valgus deformation of the foot toe allows you to restore the function of your foot even in advanced cases through the operation of joint fixation.
Finger deformation operation
Depending on the type of such surgical intervention, it is suitable for various deformations of 2-5 fingers.This can be modeling or complete resection of the head of the caudal bone and phalanx, movement (transformation) and crossing of tendons (bone degree out) through the extension and partial rupture of soft tissue, which may be the closure and axial deformation of the limbs.The correct position of the finger is secured with Herbert's knitting needles or screws.In 85% of interventions on curved fingers, the desired results for a long time can be achieved.Pain and discomfort when wearing shoes will be reduced or completely gone.With this type of operation, correcting the deformation of the external gate of the foot finger will produce good cosmetics.According to statistics, no more than 2-3% of the complications were found to have complications.The forum dedicated to the valgus deformation of the foot toe is full of comments on the effectiveness of operating the removal of cones.
Rehabilitation after surgery
The postoperative period is divided into several periods.The clinic rest lasts for 2-3 days.The development of the legs begins 5-6 hours after the operation - fingers move.From day three, you need to use Barok’s special shoes, followed by orthopedic orthopedics, and then remove the load from the operating joints.With certain types of operations (arthroplasty), the hospital time can be extended by 10 days.The second stage is the healing and recovery of the support function of the legs.It lasts 3 to 6 months.Currently, the feet and ankles may swell.To alleviate the condition, you need to lift it on your legs.Cold grass compression is also effective.One month - two, at the advice of your doctor, you must walk with your crutches to avoid the burden on the joints.Before the seams are healed, the legs need to be protected with bound plastic bags, and the water process is required.Physical therapists are also specified: electrophoresis, shock wave therapy.After 2 months, the massage started and the physical therapy exercises started less than one month after the operation.Usually, this is the development of the feet, a sports bike, swimming.To support the joints in the correct position, it is necessary to use hard night tires.During the day, wear orthopedic shoes, the term is at least 3 months.Heels are not allowed to be worn 6 months after the operation, and the height should not exceed 4 cm.After the movement eliminates deformation, it can only start moving.
Contraindications to action
The limitations on surgical treatment of leg bones are not very wide:
- Pathology of limb blood vessels - varicose veins 3 and 4 degrees, thrombosis, inhibiting atherosclerosis;
- Diabetic feet;
- Oncology;
- Purulent infection and acute inflammation.
What to remember
- There are bones on the legs, and if conservative methods do not help or cause illness, prescribe them.
- The operation is highly effective and has few complications.
- The sooner you start treatment, the easier it will be to operate and recover.