In the article, we discuss the deformation of the first leg valgus deformation, instructions and contraindications for its implementation.You will know the type of bone removal, how recovery occurs, what complications are possible.Operation deformation of the first leg valgus.Indications for Valgus deformation operation.A disease called Valgus deformation is common - this is a prominent bone formation in the toes.In addition to the aesthetic dissatisfaction, this pathology brings great suffering, it is dangerous with the development of irreversible changes in the first phalang of the foot until its complete destruction.
In the early stages of development in treatment, conservative methods were used - orthopedic correlators in combination with baths and ointments. If such therapy does not make a decision, a person with a valgus deformation prescribes the thumb valgus deformation operation. Its type depends on the level of development of the disease, the age of the patient and the presence of other general and local diseases, as well as the causes of degenerative changes in the joints.Indicators when operations are required:
- Inefficiency of conservative therapy methods.
- 3 and 4 levels of pathology with severe inflammation and pain.
- Degenerative tissue lesions.
Depending on the stage where the articular fabric is fixed, the surgeon-andopedist chose the type of operation with a 1-finger valgus deformation.
Valgus deformation type of operation
When a small picture of the thumb is diagnosed, the operation is used for exposure only to soft tissue and tendons, to correct defects in bone tissue or with a combination effect.Overall, there are more than 3,000 types of bone surgery removal - from simple correction and slightly invasive intervention to articular head isolation as well as the entire joints with artificial endoprosthesis replacement.In addition to the degree of damage to the plus-phalange joints, when choosing the first-finger valgus deformation surgery, the general condition of the patient and the presence of other diseases are taken into account.The removal is done under local anesthesia or under general vein anesthesia - in the choice of patients.
Mcbride
McBride operations, other names: silver operation, tendon transposition, refers to a small invasive intervention that affects soft tissue. In this process, the surgeon moves the muscle tendon that removes the thumb to the bone head.As a result, the whole balance of the muscles-change of the foot changes, and I and II, the metatarsal bone is closer due to the formation of dialing muscle, it cannot withstand the burden of the foot, and the relapse of the disease occurs regularly.In fact, this operation only eliminates the pain and suspension of deformation.
Tie
The osteotomy series also refers to intervention, it is short -term. In this process, the distal distal distal distal bone added (cone) with further fixation of the bone with knitting needle, which is inserted through the thumb, is done. Next, a special boot for a recovery period is given.The operation of the deformation series of the first leg valgus, according to reviews, gives significant results, the postoperative period is short, after you can switch to normal shoes.The effect is long, the probability of relapse is low.
Chevron
Chevron or Chevrony V is osteotomy (chevron osteotomie) or minimal invasive operation is only used with small deformation (thumb transfer angle up to 17 degrees) and without equal pathology (arthritis, arthrosis). During the process, two small pieces were produced, the ligaments and capsules were moved, the bone corn was removed, so the phalanx was set using titanium wires or titanium screws. If necessary, the wire or screw is removed after 3 months.The entire operation is carried out under the control of EOP-Rantgen.The effectiveness of the operation is high, the relapse is rare, but due to the complexity of the intervention itself and the very high qualification requirements of the surgeon, are rarely used.
Scarf
The scarf osteotomy (scarf, Z -shaped) is used for medium and severe deformation 1 plus bone, with a fingerprint of up to 40 degrees. This process is carried out through cuts from the lower leg to the base of the bone.There, Z-shaped wedge was cut-and the phalanx head turned to the right position.In parallel, tendons and capsules are replaced. This position is set with two small titanium screws.In most cases, they are not extracted, as patients do not experience any discomfort.In surgery, this is the most commonly used operation in the diagnosis of valgus deformation from the toes.Reviews talk about rapid healing after surgery, minimum lid, short recovery period.The effect is very good, long, relapse is very rare.
Arthrodesis with valgus deformation
Arthrodesis or lapidus operation - a medial joint closure is used in severe complicated deformations, accompanied by very high mobility.This is a radical operation in which complete imobilization of the plus-klinovic joints is performed. To do this, the bone that forms it is tightly connected by 2 special shape titanium screws in longitudinal position. This complex operation is only used if other species cannot produce positive results.After arthrodesis, the deformation is completely eliminated, the manifestation of arthrosis and pain disappears.Joint immobility does not affect the patient's style, but it is impossible to wear shoes with heels.Gradually, with the use of drug and physiotherapy therapy, the structure of the joints and feet is fully restored.The result is positive in 98% of cases.According to reviews, the radical valgus deformation of the toes with the operation of arthrodesis allows you
Finger deformation operation
Apply various degrees of deformation 2-5 fingers, depending on this type of surgical intervention selected.This can be the removal of unacceptable shared contractions and deformation of the axis with stretching and breaking part of the soft tissue, complete modeling or resection from the bone metatarsal head and phalanges, moving (transposition) and crossing (tenotomy) Wilson.The correct finger position is set with a knitting needle or Herbert screw.The desired results for a long time can be achieved in 85% of the curved finger intervention.Pain and discomfort when wearing shoes decrease or disappear completely.The correction of the deformation of the toe valgus with the operation of this type provides good cosmetic results.According to statistics, complications are found to be no more than 2-3% of surgical intervention.Forums dedicated to deforming valgus from the toes are filled with reviews of the effectiveness of the operation to remove the cone.
Recovery after surgery
The postoperative period is divided into several periods.The bed at the clinic lasts 2-3 days.Already 5-6 hours after 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 orthos, which remove the load from the joints controlled.With some types of operations (arthrodesis), hospital time can be extended for up to 10 days.The second stage is the healing and recovery of the foot support function.It lasts from 3 to 6 months.Currently, swelling of the feet and ankles may remain.To reduce the situation, you need to rest with your raised feet.Cold grass compression is also effective.A month - two, at the advice of a doctor, you need to walk with a stick so that the joints do not have a burden.Until the stitches are healed, the water procedure should be performed by protecting the feet with a plastic bag bound.Physiotherapists are also prescribed: electrophoresis, shock wave therapy.Massage is used no earlier than a month after surgery, and physiotherapy training - after 2 months.Often these are foot development, exercise bikes, swimming.To support the joints in the right position, it is necessary to use a difficult night valgus tire.During the day, orthopedic shoes are worn, the term is at least 3 months.Wearing heels is allowed no earlier than 6 months after surgery, height is not more than 4 cm.Sports can also start only 6 months after the elimination of deformation.
Operating contraindications
Restrictions in bone surgery in the legs are not very broad:
- Pathology of vessels - varicose veins 3 and 4 degrees, thrombosis, destroying atherosclerosis;
- Diabetes feet;
- oncology;
- Purulent infections and acute inflammation.
What to keep in mind
- With bone in the legs, surgery is prescribed if the conservative method does not help, or the disease is launched.
- The effectiveness of the operation is high, complications are rare.
- The sooner you start treatment, the easier operation and recovery.