In the article we discuss the operation of the valgus deformation of the first finger, indications and contraindications for its implementation.You will find out which types of surgical elimination of the bone exist, how rehabilitation is possible, which complications are possible.The operation of the valgus deformation of the first foot finger.Indications for the operation of the valgus deformation.The disease, which is referred to as valgus deformation, is known to many - this is the formation of a bulging bone on the thumb of the foot.In addition to aesthetic unattraction capability, this pathology brings with it considerable suffering and is dangerous due to the development of irreversible changes in the first plus phalang of the foot to its complete destruction.
Conservative methods are used in the early development stages of treatment - orthopedic correlators in combination with bathrooms and ointments. If such therapy does not bring any result, a person with valgus deformation prescribes a operation of the valgus deformation of the thumb. His 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.Signs if the operation is required:
- The inefficiency of conservative therapy methods.
- 3 and 4 phases of pathology with inflammation and severe pain.
- Degenerative gems.
Depending on the level in which the joint fabric remains, the surgeon-Aorthoped selects the type of operation with valgus deformation of 1 finger.
Types of Valgus deformation operations
If the thumbnail of the thumb is diagnosed, the process is used to only expose on soft tissues and tendons to correct a defect in bone tissue or with a combined effect.In total there are more than 3,000 types of the surgical elimination of the bone - from the simple correction and thus minimally invasive interventions to the excision of joint heads and even the entire joint with a replacement for artificial endoprosthesis.In addition to the degree of damage to the plus phalange of the connection, the general condition of the patient and the presence of other diseases are taken into account when selecting the operation of the valgus deformation of the first finger.The distance takes place under local anesthesia or under general venous anesthesia - when choosing the patient.
McBride
Operation McBride, other names: silver operation, tendon transposition, refers to minimally invasive interventions that only affect soft parts. The surgeon moves the tendon of the distance muscles of the thumb to the head of the i Plus bone.As a result, the entire muscle-lower limit balance of the foot and I and II are closer due to the formation of the traction of the dial muscle, it cannot withstand the overload of the foot and the relapse of the disease very often occurs.In this operation, pain is only temporarily eliminated and the development of the deformation is lost.
Seri
The seri osteotomy also refers to economical interventions, it is short. The distal cutting of the distal metaphys of the first plus bone (cone) is carried out with a further fixation of the bones with a knitting needle inserted through the thumb. Next, a special boot for rehabilitation period is assigned.The seri operation of the Valgus deformation of the first finger of the foot delivers a noticeable result according to the ratings.The postoperative period is short -lived after you can switch to ordinary shoes.The effect is long, the likelihood of relapses is low.
Chevron
Chevron or Chevrony-V-shaped osteotomy (chevron osteotomy) or a minimally invasive operation that is only used with small deformations (the angle of the shifting of the thumb up to 17 degrees) and without simultaneous pathologies (arthritis, arthrosis). Two small cuts are made, the ligaments and joint capsule are moved, the bone corn is removed, then the phalanx is fixed using a titanium wire or titanium screw. If necessary, the cable or screw is removed after 3 months.The entire company is carried out under the control of the EOP rant.The effectiveness of the company is high, relapses rarely occur, but due to the complexity of the intervention itself and the requirements of a very high qualification of the surgeon are rarely used.
Scarf
Schalosteotomy (scarf, z-shaped) is used for moderate and severe form of deformation of 1 plus foot bone, with a tendency of the finger to be inclined to 40 degrees. The process is carried out by a cut from below the foot to the base of the plus bone.There a Z-shaped wedge is cut out 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 attached with two miniature tie screws.In most cases, they are not extracted because the patient has no symptoms.In the operation, this is the most frequently used operation in diagnosing the valgus deformation of the foot tree.Reviews talk about quick healing after the operation, minimum scarves, a short rehabilitation phase.The effect is excellent, long -term relapses are extremely rare.
Arthrodesis with valgus deformation
Arthrodesis or Lapidus surgery - The closure of the media joint is used in severe complicated deformations, which are accompanied by high joint mobility in particular.This is a radical operation in which a complete immobilization of the Plus Clinovic joint is carried out. For this purpose, the bones they form are connected to 2 titanium screws of a special shape in a longitudinal area. This complex operation is only used if other species cannot achieve a positive result.After arthrodesis, the deformation is completely eliminated, the manifestations of osteoarthritis and pain disappear.The immobility of the joint does not affect the patient's course, but it is impossible to wear shoes with paragraphs.The structure of the joint and foot is gradually restored.The results are positive in 98% of cases.According to the overviews, you can restore the functions of the foot with the arthrodesis surgery with the radical valgus deformation of the foot tree even in advanced cases
Finger deformation operation
Apply for different degrees of deformation of 2-5 fingers, depending on the fact that the type of surgical intervention is selected.This can be a closedViolent, unacceptable elimination of common contractures and axial deformations of the extremities by stretching and partly fracture of soft tissue, modeling or complete resection of the heads of the midfoot bones and phalanges, movement (transposition) and crossing (tenotomy), the short systems (tenotomy), the short systems (inmates of the plus -bones with a change in the plus-Bones, with a change in the tendency of the inclination of the inclination (tenotomy) (tenotomy), (cutting of the plus bones, with a change in the angle of the inclination (tenotomy) (incidental (tenotomy) (under bounted), be. Wilson).For a long time, the pain can be achieved in the case of curved fingers.The thumb of the foot has dedicated to the effectiveness of the effectiveness of the operations to remove the cones.
Rehabilitation after the operation
The postoperative period is divided into several periods.The bed rest in the clinic takes 2-3 days.The development of the leg begins 5-6 hours after operation - the fingers move.From the third day you have to go with the special shoes of the barok and then with the orthopedic orthosis that remove the load from the operated joints.In some types of operations (arthrodesis), the time in the hospital can be extended to 10 days.The second stage is the healing and restoration of the support function of the leg.It takes 3 to 6 months.At that time, swelling of the foot and ankle can remain.To relieve the condition, you have to relax with raised legs.Cool grass compresses are also effective.One month - two, on the recommendation of a doctor, you have to run with crutches so that the connection does not suffer from the load.Until the seams are healed, water methods must be carried out by protecting the leg with a bound plastic bag.Physiotherapists are also prescribed: electrophoresis, shock wave therapy.After 2 months, the massage is not used earlier than a month after the operation and physiotherapy exercises.Most of the time, this is the development of the foot, a practice wheel, swimming.To support the joint in the correct position, a hard night Valgus tires must be used.Orthopedic shoes are worn during the day, the term is at least 3 months.Wearing a heel is not earlier than 6 months after the operation, a height of no more than 4 cm.Sport can only begin 6 months after the deformation has been removed.
Contraindications to the company
The restrictions on the surgical treatment of the bones on the leg are not very extensive:
- Pathologies of the vessels of the limbs - varicose veins 3 and 4 degrees, thrombosis, triggered atherosclerosis;
- Diabetic;
- Oncology;
- Purulent infections and acute inflammation.
What to remember
- In the case of bones on the legs, the operation is prescribed if conservative methods do not help or the disease comes onto the market.
- The effectiveness of operations is high, complications are rare.
- The earlier you start treatment, the easier the operation and rehabilitation.