The article discusses the function of the first finger of the foot, the indications for implementation, and the contraindications.You can find out the type of surgical elimination of bone, how rehabilitation goes, and what complications are possible.Function of the first finger of the foot.Indications of the operation of the valgus deformation.The disease, known as Valgus deformation, is known to many - it is a swollen bone formation on the leg thumb.In addition to aesthetic non-attraction, this pathology also causes significant suffering and is dangerous to complete destruction of the first plus-phalanges of the foot's first plus-phalang.
In the early stages of treatment, conservative methods are used - orthopedic correlations combined with baths and ointments. If such therapy does not result, the person with the valgus deformation requires the functioning of the thumb valgus deformation. It depends on the degree of disease development, the age of the patient and the presence of other general and local illnesses and the causes of degenerative changes in the joint.Signs when the operation is required:
- Effectiveness of therapeutic conservative methods.
- 3 and 4. Stages of pathology with inflammation and severe pain.
- Degenerative tissue lesions.
Depending on the stage of joint tissue occurrence, the surgeon-ortopedist chooses the type of mode with the valgus deformation of 1 finger.
Types of Valgus Deformation Operations
When the thumb miniature is diagnosed, the operation is used only for exposure to soft tissues and tendons, to correct or combined with bone fault.Overall, there is more than 3000 surgical elimination of bones - from simple correction and so -called minimally invasive interventions to joint heads, and even to the joint, replacing artificial endoprothesis.In addition to the extent of damage to the joint plus-Phalagee, the first finger's valgus deformation is taken into account the general condition of the patient and the presence of other diseases.The removal is performed during local anesthesia or general venous anesthesia - when the patient is selected.
McBride
McBride operation, other names: silver operation, transplantation of tendons, refers only to minimally invasive interventions affecting soft tissues. During the process, the surgeon moves the tender of the thumb removal muscles on the head of the I plus bone.As a result of the total muscle-purseline balance of foot changes, as well as I and II, metatarsal bones are closer due to the development of dialing muscle adhesion, is unable to withstand overload of the foot, and the relapse of the disease is very common.In fact, this operation only temporarily eliminates pain and suspends deformation.
Serus
Seri osteotomy also refers to sparing interventions, short during the duration. During the process, the distal cutting of the first plus bone (suppositories) is carried out distal cutting the bones with a knitting needle, which is inserted into the thumb. A separate boot is then organized for the rehabilitation period.The first finger of the leg is the Valgus deformation of the SERI, according to reviews, the postoperative period is short after you can switch to the usual shoes.The effect is long and the probability of relapses is low.
Rafter
Chevron or Chevony V -shaped osteotomy (Chevron osteotomie) or a minimally invasive operation only with small deformations (the angle of the thumb to 17 degrees) and simultaneous pathologies (arthritis, arthritis). During the process, two small cuts are produced, the leagues and the joint capsule are shifted, the bone corn is removed, and the phalanx is secured with a titanium wire or titanium screw. If necessary, the wire or screw is removed after 3 months.The whole operation is performed under the control of EOP-Rantgen.The efficiency of the operation is high, rarely occurs, but it is rarely used due to the complexity of the intervention and the requirements of very high qualification of the surgeon.
Scarf
The osteotomy of scarf (skarf, Z shape) is used for the moderate and severe deformation of 1 plus bone deformation, with the angle of the finger to 40 degrees. The process is carried out by cut from under the foot to the bottom of the extra bone.There, a Z -shaped wedge is cut out and the Phalanx head is placed in the right position.In parallel, the position of the tendons and the joint capsule are replaced. This situation is secured with two miniature titanium screws.In most cases, they are not removed because the patient does not experience discomfort.This is the most commonly used operation in diagnosis of the valgus deformation of the leg.Reviews talk about rapid healing after surgery, minimal scarves, and a short rehabilitation period.The effect is excellent, long -term, and relapses are extremely rare.
Artrodesis with valgus deformation
Artrodesis or lapidus operation - The closure of the medial joint is used in severe complex deformations, which are especially accompanied by high joint mobility.This is a radical operation in which the entire immobilization of the plus clinovic joint is performed. To do this, the bones that form it are tightly connected with 2 titanium screws, which are in a special shape, longitudinal position. This complex operation is only used if other species cannot give positive results.After arthrodesis, the deformation disappears completely, and the manifestation of arthrosis and pain disappears.The joint mobility does not affect the patient's flight, but it is impossible to wear shoes with shoes.Gradually, with medication and physiotherapy, the structure of the joint and foot is completely restored.The results are positive in 98% of the cases.It is believed that the radical valgus deformation of the leg thumb will allow the function of arthrodesis to restore feet functions even in advanced cases
Finger deformation operation
Apply for a different degree of deformation of 2-5 fingers, depending on the type of surgical intervention.It can be closed violent, unacceptably elimination and axial deformations of the limbs by stretching and partial cracking of soft tissues, modeling or resection of metatarsal bones and flalangs, bypassing tendon (tenotomy) and headers (crossing)Abbreviated Plus Bones.The correct position of the fingers is secured with Herbert knitting needles or screws.The desired result is available for a long time in 85% of curved fingers.Pain and discomfort when wearing the shoes decreases or disappears completely.Correction of valgus deformation of the feet of the feet results in good cosmetic results with this type of operation.According to statistics, complications find up to 2-3% of surgical interventions.A forum dedicated to the leg deformation of the leg thumb is filled with an overview of the efficiency of the cones to remove the cones.
Rehabilitation after surgery
The postoperative period is divided into several periods.The bed rest in the clinic lasts 2-3 days.Already 5-6 hours after surgery, the leg development begins - the fingers move.From the third day, you have to step up and walk with the Barok's special shoes and then the orthopedic orthosis that remove the load from the joints operated.In the case of certain types of operations (artrodesis), the hospital can be extended for 10 days.The second phase is the healing and restoration of the foot function of the foot.It takes 3-6 months.At this time, swelling of the leg and ankle may remain.To relieve the disease, you need to relax with the raised legs.Cool grass compressions are also effective.One month - two, one doctor's recommendation should go with crutches to prevent the joint from suffering from the load.Until the seams are healed, the water procedures should be performed by protecting the leg with a plastic bag.Physiotherapists are also written: electrophoresis, shock wave therapy.The massage is used one month after surgery and is used by physiotherapy exercises after 2 months.Most often, this foot development, a workout bike, swimming.To support the joint joint, use a hard night valgus tire.During the day, orthopedic shoes are worn, the term is at least 3 months.The heel is allowed within 6 months after surgery, up to 4 cm height.The sport begins only 6 months after the deformation is eliminated.
Contraindication of surgery
Limitations of bone surgical treatment are not too broad:
- Pathologies of the limbs vessels - 3 and 4 degrees, thrombosis, destroyed atherosclerosis;
- Diabetic leg;
- oncology;
- Purulent infections and acute inflammation.
What do we remember
- With the bones on the legs, the operation is prescribed when conservative methods do not help or the disease starts.
- The efficiency of the operations is high and the complications are rare.
- The sooner you start treatment, the easier the surgery and rehabilitation.