Surgical treatment of valgus deformation is considered an effective method of therapy.This disease is characterized by a pathological change in the form of the foot, which requires restoration otherwise, complications are possible until disability.The operation is usually performed in 3-4 stages of pathology.
Surgery as an effective treatment method valgus
Development factors
Valgus deformation of the foot is difficult to determine in the early stages due to asymptomatic.Ballerinas, women who prefer to use high nails, advanced people, are located in the formation of such pathology.Such reasons for the formation of the foot of Valgus are distinguished:
- Endocrine system diseases;
- Smooth feet;
- violation of the ligament apparatus;
- limbs lesions;
- heredity.
This disease is classified into such development stages, depending on the degree of injury:
- The first finger is less than 20 degrees changed, while the patient does not feel discomfort.
- The connection is displaced at 30 degrees.The pain manifests itself after loads.
- 30 to 50 degree displacement.Sensations of constant pain that do not allow to move normally.
- The articulation changes more than 50 degrees.Strong foot deformation and acute pain.
In children, valgus deformation can be congenital or acquired.This disease develops against the background of musculoskeletal system pathologies.The first signs appear when the child begins to walk.
What is Valgus dangerous?
During the development of such a pathology, a sick person faces the problem of shoe selection, because the shaken bone brings discomfort and severe pain by touching it.In addition to the aesthetic modifications, the deformation of Valgus affects these structures in the foot such as ligaments, tendons, bones and compounds.Like Valgus, the feet are dangerous for the development of such pathologies of the musculoskeletal system:
- DEFORMING ARTROSIS;
- Bursit chronicly;
- Longitudinal-transversal smooth feet;
- the growth of bone -filled structures;
- Complete displacement of the positive bone.
Indications for Operations in Valgus Foot
Non -operational treatment for valgus deformation is performed only by the child until the foot is completely formed.The main intervention indicators are pain, discomfort, limited motor activity, inflammatory processes, infection, strong visual changes and gear violation.Válvio's plan plan is treated only surgically.Other Methods - Gymnastics, Orthopedic Shoes, suspend the development of the pathology.But in 3-4 stages in conservative ways not to solve the problem.At this stage, the finger deflects 25 to 35 degrees, and the bone sinks 18 degrees, which is deformed by the rest of the phalanges.
TYPES AND CHARACTERISTICS OF PROVIDENCE
The selection of a certain type of operation is performed individually, depending on the degree of development of the pathology, the patient condition and diseases related to the musculoskeletal system.More often, these types of surgical intervention are used:
- Osteotomy.They are reconstructions.A small incision is made through which the Lateatophalangeal connection is made.Then the elimination of bone growth is performed.Bone removal is performed at the immobilized joint.Osteotomy is performed with the subsequent consolidation of bone fragments using the compression titanium device.Distinguish the following subspecies: Austin with V or L -shaped drying used for a 17 ° display;Cachecol with 17-40 ° deviation in the form of Z;Akin (wedge -shaped) - is combined with other methods.
- Small -invasive intervention is a sparing technique.It is given punches on both sides of the thumb.The surgeon has micro-tools and restores the correct position of the first finger axis.The action is controlled through the monitor.This type of operation is performed by children when traditional treatment methods had no results.
- Arthrodesis is a radical method.Deformation and pain are eliminated, but the connection becomes immovable.The lack of mobility does not affect a person's march.Through the open incision, parts of the proximal bone head and the first plus are removed, the remaining fragments are connected by screws that will be removed later.
The correction of bone position is a complex operation.Immediately after surgical manipulations, the expert recommends resting in bed.Soft tissue swelling is removed with cold compresses.The first 6 weeks of walking are possible only in one orthosis, which will remove an additional load from the limb.Restoring common motor activity - after 1.5 months.Rehabilitation takes about six months.The post -operative period (10 days) the patient is in the hospital under the supervision of doctors.To accelerate the recovery process, the operated limb is important to keep above the body in the lying position.Rehabilitation includes massage, electrophoresis, exercise therapy and UVT courses.
Complications
The surgical interventions of this plan are tolerated mainly at any age.But there are undesirable complications.These include:
- the formation of thrombosis;
- infectious infections of the body;
- aseptic necrosis;
- ограничение двательной аплитуы большого пальца;
- тры ыы неыхых ныхых ныхых н н one;;
- allergic manifestations;
- Fingers' paresthesia.
Forecasts after surgery
If the intervention is performed on both feet, it is important to take a 3-6 month break.
If you follow the doctor's recommendations, forecasts will be favorable.Do not carry the operated limb with strong physical effort.After surgery, you need to wear orthopedic shoes or special insoles.It is better for women to abandon high heels and dense shoes.Thanks to modern methods in the field of surgery, Valgus is subject to a complete correction.