The surgical treatment of the deformation of the valgus is considered an effective therapy method.This disease is characterized by a pathological change in the shape of the foot, which requires the restoration otherwise, complications are possible for disability.The operation is generally performed in 3-4 pathology phases.
Surgery as an effective Valgus treatment method
Development factors
The valgus of the foot of the foot is difficult to determine in the first stadiums due to asymptomatic.Dancers, women who prefer to wear high stallions, people in old age, are found in the formation of this pathology.These reasons for the formation of the valgus foot are distinguished:
- Endocrine system diseases;
- flat feet;
- violation of the binding apparatus;
- limb lesions;
- inheritance.
This disease is classified in these development phases depending on the degree of injury:
- The first finger is less than 20 degrees, while the patient does not experience discomfort.
- The connection is moved by 30 degrees.Pain occurs after loads.
- Move from 30 to 50 degrees.Sensations of constant pain that do not allow to move normally.
- The articulation moves more than 50 degrees.Strong deformation of the foot and acute pain.
In children, Valgus deformation can be congenital or acquired.This disease develops against the background of the pathologies of the musculoskeletal system.The first signs appear when the child starts walking.
What is Valgus dangerous?
During the development of this pathology, a sick person is faced with the problem of the selection of shoes, because the protruding bone brings serious discomfort and pain when they touch it.In addition to the aesthetic changes, Valgus deformation affects these structures on the foot as ligaments, tendons, bones and compounds.In addition to Valgus, the feet are dangerous for the development of these pathologies of the musculoskeletal system:
- deform arthrosis;
- Bursit in a chronic form;
- longitudinal-transverse dishes;
- the growth of reduced bone structures;
- Complete movement of the bone plus.
Indications for Valgus Foot operations
The non -operational treatment for Valgus deformation is carried out only by the child until the foot is completely formed.The main indicators for intervention are pain, discomfort, limited motor activity, inflammatory processes, infection, strong visual changes and violation of the pace.The flat valgus foot is treated only surgically.Other methods: gymnastics, orthopedic shoes, suspend the development of the pathology.But in 3-4 phases in conservative ways not to solve the problem.In this phase, the finger deflects 25-35 degrees and the more sinking 18 degrees, which is deformed by the rest of the phalanges.
Providence types and characteristics
The selection of a certain type of operation is performed individually depending on the degree of development of the pathology, the patient's conditions and the related diseases of the musculoskeletal system.More often these types of surgery are used:
- Osteotomy.They are reconstructions.A small incision is carried out through which the Latearsophalangea connection is made.Then the elimination of bone growth is carried out.The removal of the bone is performed on a 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 view of 17 °;Scarf with deviation at 17-40 ° in the shape of Z;Akin (in the shape of a wedge) - combines with other methods.
- The invasive intervention for Piccolo is a savings technique.The fists are made on both sides of the thumb.The surgeon introduces micro-tool and restores the correct position of the axis of the first finger.The action is controlled via the monitor.This type of operation is carried out by children when traditional treatment methods have not given results.
- The arthrodesis is a radical method.Deformation and pain are eliminated, but the connection becomes immobile.The lack of mobility does not affect a person's pace.Through the open incision, the parts of the head of the neighbor and the first bone plus are removed, the remaining fragments are connected by screws that will be subsequently removed.
The correction of the position of the bone is a complex operation.Immediately after surgical manipulations, the specialist recommends bed rest.The swelling of the soft fabrics is removed with cold compresses.The first 6 weeks of walking are possible only in an orthosis, which will remove an additional load from the limb.Restoration of ordinary motor activity - after 1.5 months.Rehabilitation lasts about six months.The postoperative period (10 days) The patient is in hospital under the supervision of doctors.To accelerate the recovery process, the operated limb is important to keep on the body in the lie position.Rehabilitation includes massage courses, electrophoresis, therapy for exercises and UVTs.
Complications
The surgical interventions of this plan are mainly tolerated at any age.But there are unwanted complications.These include:
- the formation of thrombosis;
- Infectious body infections;
- aseptic necrosis;
- restriction of the motor width of the thumb;
- nerve ending lesions;
- allergic manifestations;
- Fingers of the fingers.
Forecast after surgery
If the intervention is performed on both feet, it is important to take a pause of 3-6 months.
If you follow the doctor's advice, the forecasts are favorable.Do not load the arto operated with a strong physical effort.After surgery, it is necessary to wear orthopedic shoes or special sunshine.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.