In the article, we discussed the operation of the deformation of Valgus from the first toe, nominations and against -indications for its implementation.You will find out what types of surgical bone elimination exist, as is rehabilitation, what complications are possible.The operation of the deformation of the first finger valgus.Indications for the operation of Valgus deformation.The disease called Valgus deformation is familiar to many - this is the formation of a protruding bone in the foot thumb.In addition to the lack of aesthetic attractiveness, this pathology brings considerable suffering, it is dangerous for the development of irreversible changes in the first positive Phalang of the foot of the foot until its complete destruction.
In the early stages of development in treatment, conservative methods are used - orthopedic correlacers in combination with baths and ointments. If this therapy does not bring a result, a person with Valgus deformation prescribes an operation of the deformation of Valgus from the thumb. Its type depends on the degree of development of the disease, the age of the patient and the presence of other general and local diseases, as well as the causes that caused degenerative changes in the joint.Indications when the operation is required:
- The inefficiency of conservative therapy methods.
- 3 and 4 stages of pathology with inflammation and intense pain.
- Degenerative fabric lesions.
Depending on the stage at which the joint tissue remains, the contractor surgeon selects the type of operation with 1 finger deformation.
Valgus deformation operations types
When the thumb miniature is diagnosed, the operation is used for exposure only in tissues and soft tendons, to correct a defect in bone tissues or with a combined effect.In total, there are more than 3,000 types of bone surgical elimination - easy correction and minimally invasive interventions called up to the excision of joint heads and to the entire articulation with a substitute for artificial endoprhesis.In addition to the degree of damage to the phalange of the joint, when choosing the operation of Valgus deformation of the first finger, the general condition of the patient and the presence of other diseases are taken into consideration.Removal is performed under local anesthesia or under general venous anesthesia - in the patient's choice.
McBride
McBride operation, other names: silver operation, tendon transposition refers to minimally invasive interventions that affect only soft tissues. In the process, the surgeon moves the tendon of the thumb removal muscles to the bone head I Plus.As a result, the entire muscle-purel balance of foot changes, and I and II, metatarsal bones approach due to dialing muscle traction formation, cannot support foot overload and disease relapse occurs very often.In fact, this operation only temporarily eliminates pain and suspense the development of deformation.
Seri
Seri osteotomy also refers to sparing interventions, is short in duration. In the process, the distal cut of the distal metal of the first bone (cones) with additional bone fixed with a knitting needle, which is inserted through the thumb, is performed. Then a special initialization for the rehab period is assigned.Valgus deformation serial operation of the first toe, according to revisions, provides a noticeable result, the post -operative period is short after you can change to ordinary shoes.The effect is long, the probability of relapse is low.
Chevron
Chevron or C Chevrony formotomy (Chevron osteotomy) or a minimally invasive operation used only with small deformations (the thumb displacement angle up to 17 degrees) and non -concomitant pathologies (arthritis, arthrosis). In the process, two small cuts are produced, ligaments and joint capsule are displaced, bone corn is removed, so the phalanx is fixed using a titanium wire or titanium screw. If necessary, the wire or screw is removed after 3 months.The entire operation is performed under the control of EOP-Rantgen.The effectiveness of the operation is high, relapses rarely happen, but due to the complexity of the intervention itself and the requirements of a very high surgeon qualification, it is rarely used.
Tissue
The scarf osteotomy (Cachecol, Z -shaped) is used for a moderate and severe deformation shape of 1 more foot bone, with a finger tilt angle to 40 degrees. The process is performed through a cut below the foot to the base of the positive bone.There, a Z -shaped wedge is cut and the phalanx head is moved to the correct position.At the same time, the position of the tendons and the joint capsule are replaced. This position is fixed with two miniature titanium screws.In most cases, they are not extracted because the patient does not suffer any discomfort.In surgery, this is the most used operation in the diagnosis of deformation of the foot in the foot.Criticism talks about rapid healing after surgery, minimal scarves, a short rehab period.The effect is excellent, in the long run, relapses are extremely rare.
Valgo deformation arthrodesis
Arthrodesis or Lapidus Operation - The closure of the medial joint is used in complicated serious deformations, which are accompanied by especially high joint mobility.This is a radical operation in which complete immobilization of the Plus-Clinovic joint is performed. To do this, the bones that form it are firmly connected by 2 titanium screws in a special way in a longitudinal position. This complex operation is used only if other species cannot give a positive result.After arthrodesis, the deformation is completely eliminated, the manifestations of arthrosis and pain disappear.The immobility of the joint does not affect the patient's march, but it is impossible to wear heel shoes.Gradually, with the use of drug therapy and physical therapy, the joint and foot structure is completely restored.The results are positive in 98% of cases.According to the revisions, the radical deformation of Valgo do Polega do Pé with the operation of the arthrodesis allows to restore foot functions, even in advanced cases
Finger deformation operation
Apply various degrees of 2-5 fingertips, depending on this, the type of surgical intervention is selected.This can be a closed violence unacceptable elimination of joint contractures and axial deformations of the extremes by stretching and partial rupture of soft tissues, modeling or complete Resection of the metatarsal bones and phalanges, movement (transposition) and crossing (tenotomy) ofHaving, Shortening of the Plus Bones with a Change in the Position and Angle of Inclination of Their Heads (Osteotomy Wilson).The correct position of the fingers is fixed with Herbert's knitting needles or screws.The result desired for a long time can be achieved in 85% of curved finger interventions.Pain and discomfort when wearing shoes decrease or disappear completely.The correction of the deformation of the toes of the foot with operations of this type provides a good cosmetic result.According to statistics, complications are found no more than 2-3% of surgical interventions.The forum dedicated to the deformation of the foot in the foot of the foot is filled with reviews of the effectiveness of operations to remove the cones.
Rehabilitation after surgery
The post -operative period is divided into several periods.The rest of the bed in the clinic lasts 2-3 days.Already 5-6 hours after the operation, the development of the leg begins - the fingers move.From the third day, you need to get up and walk using Barok's special shoes and then the orthopedic orthopedic, which remove the load from the operated joints.With some types of operations (arthrodesis), the time in the hospital can be extended up to 10 days.The second stage is the healing and restoration of the leg support function.Lasts from 3 to 6 months.At this moment, the swelling of the foot and the ankles can remain.To relieve the condition, you need to relax with your legs raised.The cold grass compresses are also effective.One month - two, on the recommendation of a doctor, you will have to walk with crutches so that the joint does not suffer from the load.Until seams are healed, water procedures need to be performed by protecting the leg with a tied plastic bag.Physiotherapists are also prescribed: electrophoresis, shockwave therapy.Massage begins to be used before a month after surgery and physical therapy exercises - after 2 months.Most of the time, this is the development of the foot, an exercise bike, swimming.To support the joint in the correct position, you need to use a Valgus Hard Night tire.During the day, orthopedic shoes are used, the term is at least 3 months.Using a jump is not allowed to be 6 months after surgery, a height not exceeding 4 cm.Sports can also start just 6 months after eliminating deformation.
Against -Idictions for the operation
Restrictions on the surgical treatment of bones in the leg are not much extensive:
- Member vessel pathologies - varicose veins 3 and 4 degrees, thrombosis, obliterating atherosclerosis;
- Diabetic foot;
- oncology;
- Purulent infections and acute inflammation.
What to remember
- With bones in the legs, the operation is prescribed if conservative methods do not help or the disease is launched.
- The effectiveness of operations is high, complications are rare.
- The sooner you start treatment, the easier operation and rehabilitation.