In the article, we discuss the functioning of the Valgus deformation of the first finger of the foot, the indications and the contraindications for its implementation.You will discover which types of bone surgical elimination exist, how rehabilitation goes, what complications are possible.The operation of the Valgus deformation of the first finger in the foot.Indications for the functioning of Valgus deformation.The disease called Valgus deformation is familiar to many - this is the formation of a bone protruding in the thumb of the foot.In addition to the unattractive aesthetic, this pathology brings a considerable suffering, is dangerous from the development of irreversible changes in the first plus-falang of the foot of the foot until its complete destruction.
In the early stages of development in the treatment, conservative methods are used: orthopedic correlates in combination with bathrooms and ointments. If this therapy does not bring a result, a person with Valgus deformation prescribes an operation of the deformation of the Pollice valgus. 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 have caused degenerative changes in the joint.Indications when the operation is required:
- The inefficiency of the conservative methods of therapy.
- 3 and 4 phases of pathology with inflammation and severe pain.
- Degenerative tissue lesions.
Depending on the stadium in which the joint tissue dwells, the surgeon-speaker selects the type of operation with the deformation of Valgus of 1 finger.
Types of Valgus deformation operations
When the thumb miniature is diagnosed, the operation is used for exposure only on soft and tendon tissues, to correct a defect in the bone tissues or with a combined effect.In total, there are more than 3,000 types of bone surgical elimination - by an easy correction and thus minimally invasive interventions called to the excision of the joint heads and even to the entire articulation with a replacement of the artificial endoprotesis.In addition to the degree of damage to the pavilion more than the joint, when choosing the functioning of the Valgus deformation of the first finger, the patient's general condition and the presence of other diseases are considered.The removal is carried out under local anesthesia or in general venous anesthesia - of 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 head of the bone The plus. Since consequently, the entire balance of the muscle line of the foot changes and the and II, the metatarsal bones approach due to the formation of the traction of the compound muscle, cannot resist the overload of the foot and the impact of the disease occurs very often.In fact, this operation only temporarily eliminates pain and suspends the development of deformation.
Serious
The serita osteotomy also refers to spared interventions, it is short -lived. In the process, the distal cut of the distal metaphys of the first more bone (Coni) is performed with further setting of the bones with a knitting needle, which is inserted through the thumb. Subsequently, a special boot for the rehabilitation period is assigned.The serious operation of the Valgus deformation of the first finger in the foot, according to the reviews, gives a remarkable result, the postoperative period is short -lived, after being able to move to ordinary shoes.The effect is long, the probability of recurrence is low.
Chevron
Osteotomy in the shape of V Chevron or Chevrony (Osteotomie Chevron) or minimally invasive functioning used only with small deformations (the offering corner of the thumb up to 17 degrees) and without concomitant pathologies (arthritis, arthrosis). In the process, two small cuts are produced, the ligaments and the joint capsule are moved, the bone corn is removed, then the phalanx is fixed using a thread in titanium or a titanium screw. If necessary, the thread or screw are removed after 3 months.The entire operation is performed under the control of the OP-RANTGEN.The effectiveness of the operation is high, recurrence rarely occur, but due to the complexity of the intervention itself and the requirements of a very high qualification of the surgeon, it is rarely used.
Scarf
The osteotomy of the scarf (scarf, in the shape of Z) is used for a moderate and severe form of deformation of 1 more bone of the foot, with a corner of the finger at 40 degrees. The process is performed through a cut from under the foot at the base of the bone plus.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 is replaced. This position is fixed with two miniature titanium screws.In most cases, they are not extracted, since the patient does not undergo any discomfort.In surgery, this is the most commonly used operation in the diagnosis of the deformation of the thumb of the foot of the foot.The reviews speak of rapid healing after surgery, minimum scarves, a short period of rehabilitation.The effect is excellent, in the long term, the recurrences are extremely rare.
Arthrodesis with valgus deformation
ARTRODESI or Lapidus operation - The closure of the medial joint is used in serious complicated deformations, which are accompanied by a particularly high joint mobility.This is a radical operation in which the complete immobilization of the more clinovic joint is performed. To do this, the bones that form it are closely connected by 2 titanium screws of a special form in a longitudinal position. This complex operation is used only if other species cannot give a positive result.After the arthrodesis, the deformation is completely eliminated, the manifestations of arthrosis and pain disappear.The immobility of the joint does not affect the patient's pace, but it is impossible to wear heels.Gradually, with the use of drug therapy and physiotherapy, the structure of the articulation and foot is completely restored.The results are positive in 98% of cases.According to the reviews, the radical deformation of Vallus del Pollice della foot with the functioning of the arthrodese allows to restore the functions of the foot even in advanced cases
Deformation of the fingers
Request various degrees of deformation of 2-5 fingers, depending on this, the type of surgery is selected.This can be a violent violent elimination closed of joint contractures and axial deformations of the ends by lengthening and partial rupture of the soft tissues, modeling or complete resection of the heads of the metatarsal bones and phalanges, moving (transposition) and transposition) and crossing (tenotomy) of tendencies, shortening of the bones more than a change in the position and inclusion of their head (hospital(Osterpose) (Transposition).There are more than 2-3% of the surgical interventions.
Rehabilitation after surgery
The postoperative period is divided into different periods.Bed rest 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 have to get up and walk using the special shoes of the Barok, then the orthopedic orthosis, which remove the load from the share joints.With some types of operations (arthrodesis), time in the hospital can be extended up to 10 days.The second stage is healing and restoration of the leg support function.It lasts from 3 to 6 months.Right now, the swelling of the foot and ankles can remain.To relieve the condition, you have to relax with your legs raised.Fresh grass compressions are also effective.A month - two, on a doctor's recommendation, you will have to walk with crutches so that the joint does not suffer from the load.Until the seams are healed, the water procedures must be performed by protecting the leg with a tied plastic bag.Physiotherapists are also prescribed: electrophoresis, shock wave therapy.The massage begins to be used no earlier than a month after surgery and physiotherapy exercises - after 2 months.Very often this is the development of the foot, an operating bike, swimming.To support the joint in the correct position, you need to use a hard night tire.During the day, the orthopedic shoes are worn, the term is at least 3 months.Wearing a heel is not allowed before 6 months after surgery, a height not exceeding 4 cm.Sport can also start only 6 months after the elimination of the deformation.
Contraindications to the operation
The restrictions in the surgical treatment of bones on the leg are not very extensive:
- Pathologies of the Vases of the Arts - Varicose veins 3 and 4 degrees, thrombosis, cancel the atherosclerosis;
- Diabetic foot;
- oncology;
- Purulent infections and acute inflammation.
What to remember
- With the bones on the legs, the operation is prescribed if the conservative methods do not help or the disease is launched.
- The effectiveness of the operations is high, the complications are rare.
- First the treatment starts, the operation and rehabilitation is easier.