In the article, we discuss the work of Valgus deformation of the first finger of foot, an indication and contraindication for its implementation.You will discover what types of surgical elimination, there are, how rehabilitation goes, which complications are possible.Work Valgus deformation of the first finger of the foot.Indications for the operation of Valgus deformation.The disease called Valgus Deformation is known for many - this is the formation of bulging bone on the thumb foot.In addition to aesthetic inadvertence, this pathology brings significant suffering, it is dangerous upon drafting non-refundable changes in the first plow of foot foot to complete destruction.
In the early stages of development, conservative methods are used - orthopedic correlators in combination with baths and fats. If such therapy does not bring a result, a person with the deformation of Valgus prescribes the work of the Walgus thumb deformation. Its species depends on the degree of disease development, patient's age and the presence of other general and local diseases, as well as the causes caused by degenerative changes in the common.Indications when the operation is required:
- Inefficiency of conservative methods of therapy.
- 3 and 4 phases of pathology with inflammation and strong pain.
- Degenerative tissue lesions.
Depending on the scene in which the articulated fabric is adhered to the surgeon's orthopist chooses the type of work with the walgus 1-finger deformation.
Types of walgus deformation operations
When the thumbnail of the thumb is diagnosed, the paper is used to exhibit only on soft tissues and tendons, correct the defect in bone tissue or with a combined effect.There are a total of more than 3,000 types of bone surgery - from simple correction and thus-cited minimally invasive interventions to the experiment of articulated heads, and even entire composition for artificial endoprosthesis.In addition to the degree of damage to plus falanges in common, when choosing the deformation of the first finger, the general condition of the patient and the presence of other diseases are taken into account.Removal is performed under local anesthesia or under general venous anesthesia - by choice of patient.
McBride
Operation McBride, other names: Silver work, tendon transposition, refers to minimally invasive interventions that affect only soft tissues. In this process, the surgeon moves the tendon of removing the muscles of the thumb on the head and plus bones.As a result, the entire muscular balance of the foot changes and II, the metataric bones are approaching due to the formation of pulling muscles, cannot withstand the overload of the foot, and relapse disease occurs very often.In fact, this operation temporarily eliminates pain and suspension of deformation development.
Series
Seri osteotomy also refers to the savings of intervention, short is the duration. In the process, distal cutting of distal metaphins of the first plus bone (cones) with further fixation of bones with a knitted needle, which is inserted over the thumb, is reported. Then a special rehabilitation period was granted.Series Work Valgus Deformation of the first finger foot, according to reviews, gives a noticeable result, the postoperative period is short - after you can switch to ordinary shoes.The effect is debt, the probability of relapse is small.
Chevron
Chevron or Chevron osteotomy shaped (Chevron osteotomie) or a minimal invasive operation used only with small deformations (angle of displacement of thumbs up to 17 degrees) and without simultaneous pathology (arthritis, arthrosis). The process produced two small cuts, ligaments and articular capsules are changed, bone corn is removed, and then Falanx is fixed using a titanium wire or titanium wire. If necessary, a wire or screw is removed after 3 months.The entire operation is performed under the control of the EOP-RANTGEN.The efficiency of work is high, relapse rarely occur, but due to the complexity of the self-examination and requires very high qualifications of the surgeon, it is rarely used.
Scarf
The Šal osteotomy (scarf, in the shape of the letter z) is used for a moderate and difficult form of 1-plus bone of the foot, with angle of fingers up to 40 degrees. The process is carried out through the incision under the foot to the base plus bones.There is a clin in the shape of a cut-shaped - and the head of the phalan is moved to the correct position.In parallel, the position of the tendon and the shared capsule is replaced. This position is fixed with two thinthan miniature screws.In most cases, they were not extracted, because the patient does not experience discomfort.In surgery, this is the most commonly used operation in the diagnosis of the deformation of Valgus thumb feet.Reviews discuss rapid healing after surgery, minimum scarves, short rehabilitation period.The effect is excellent, long-term, relapses are extremely rare.
Arthrodesis with Valgus deformation
Arthrudez or Lapidus Handling - The closure of the medial joint is used in heavy complicated deformations, which are accompanied by particularly high joint mobility.This is a radical work in which the complete immobilization of the plus-Clinović coupling is performed. To do this, bones that make up, are firmly linked to 2 Titanium screws of a special shape in a longitudinal position. This complex operation is used only if other types cannot give a positive result.After the arthrodesis, the deformation was completely eliminated, arthrosis and painful color events disappear.The stomacy of the wrist does not affect the patient's walk, but it is impossible to wear heel shoes.Gradually, with the use of drug therapy and physiotherapy, the structure of the wrist and feet is fully renewed.The results are positive in 98% of cases.According to reviews, radical valgus deformation of the thumb feet with the work of arthrodeze allows you to restore your foot functions even in advanced cases
Finger deformation operation
Sign up for different degames of 2-5 fingers, depending on this type of surgical intervention.This can be closed a violent unacceptable removal of common contractions and extremities stretching and partial resection of the metatarhous bones and transition (tanotomy) tendon, shortening plus with a change in position and angle of heading.The correct position of the fingers is fixed with knitted needles or herbert bolts.The desired extent than longer time can be achieved in 85% interventions on curved fingers.Pain and discomfort when carrying shoes decline or completely disappear.Correcting the deformation of the finger fingers with the operations of this type gives a good cosmetic result.According to statistics, complications are found no more than 2-3% surgical interventions.The forum dedicated to the deformation of Valgus thumb feet is filled with reviews of the efficiency of the cone removal operations.
Rehabilitation after surgery
The postoperative period is divided in several periods.Pose on the bed in the clinic lasts 2-3 days.As early as 5-6 hours after the operation, the development of the legs begins - fingers are moved.From the third day you have to get up and walk using special barot shoes, and then orthopedic orthoses, which remove the load from managed compounds.With some types of operations (arthrodesis), the time in the hospital can be extended up to 10 days.The second phase is the healing and renewal of the accompanying function of the leg.Lasts from 3 to 6 months.At this point, swelling of your feet and ankles can stay.To mitigate the condition, you must relax with your legs collected.Cool Trash compresses both efficient.Moon - two, on the doctor's recommendation, you will have to walk with crutches so that the wrist does not suffer from the cargo.As long as the seams are not cured, the water procedures should be carried out with the protection of the legs with a tied plastic bag.Physiotherapists are also prescribed: electrophoresis, shock therapy.The massage begins to use not to use earlier than a month after surgery, and physiotherapy exercises - after 2 months.It is most often the development of your feet, bike exercise, swimming.To support the wrist in the correct position, it is necessary to use the tire from hard night valgus.In the living room, orthopedic shoes, the term is at least 3 months.Car wearing is allowed not 6 months after surgery, height no more than 4 cm.The sport can start only 6 months after removing deformation.
Contraindications to surgery
Restrictions in the surgical treatment of bones on the leg are not very extensive:
- Vessel travel - Varicose veins 3 and 4 degrees, thrombosis, atherosclerosis;
- Diabetic foot;
- oncology;
- Gnody infections and acute inflammation.
What to remember
- With the bones on their feet, the operation is prescribed if conservative methods do not help, or the disease runs.
- The efficiency of operations is high, complications are rare.
- The sooner you start treatment, which is easier surgery and rehabilitation.