The surgical treatment of the deformation of the valgo is considered an effective method of therapy.This disease is characterized by a pathological change in the shape of the foot, which requires restoration otherwise, complications are possible to disability.The operation is usually carried out in 3-4 stages of pathology.
Surgery as a valgus effective treatment method
Development factors
The deformation of the feet is difficult to determine in the early stages due to asymptomatic.The dancers, women who prefer to use high studs, elderly, are found in the formation of such pathology.Such reasons for the formation of the foot of Valgo are distinguished:
- Endocrine system diseases;
- flat feet;
- Violation of the ligament apparatus;
- limb injuries;
- inheritance.
This disease is classified as such stages of development depending on the degree of injury:
- The first finger is less than 20 degrees displaced, while the patient does not feel discomfort.
- The connection is transferred in 30 degrees.The pain manifests after loads.
- Displacement of 30 to 50 degrees.Sensations of pain of constant nature that do not allow to move normally.
- The joint changes more than 50 degrees.Strong deformation of the foot and acute pain.
In children, the deformation of the valgo can be congenital or acquired.This disease develops in the context of the pathologies of the musculoskeletal system.The first signals appear when the child begins to walk.
What is Valgus Dangerous?
During the development of such pathology, a sick person faces the problem of the selection of shoes, because the bulky bone brings serious discomfort and pain when touching it.In addition to aesthetic modifications, the deformation of the valgo affects such structures in the foot as ligaments, tendons, bones and compounds.In addition to Valgo, the feet are dangerous for the development of such pathologies of the musculoskeletal system:
- deforming osteoarthritis;
- Bursit in chronic form;
- Transversal longitudinal flat feet;
- the growth of bone structures;
- Complete more bone displacement.
Indications for Operations in Valgus Foot
The non -operational treatment for the deformation of the valgo is carried out 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 the rape of march.The flat fence is only surgically.Other methods: gymnastics, orthopedic shoes, suspend the development of pathology.But at 3-4 stages of conservative ways not to solve the problem.At this stage, the finger deviates from 25-35 degrees, and the bone more 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 carried out individually depending on the degree of development of the pathology, the condition of the patient and the related diseases of the musculoskeletal system.More often types of surgical intervention are used:
- OsteotomyThey are reconstructions.A small incision is made through which the latearsoSofalangeal connection is carried out.Then the elimination of bone growth is carried out.Bone elimination is performed in the immobilized joint.The osteotomy is carried out 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 ° exhibition;Scarf with diversion in the form of Z-At 17-40 °;Akin (wedge -shaped): It is combined with other methods.
- Small non -invasive intervention is a savings technique.The blows are made on both sides of the thumb.The surgeon introduces micro-tools and restores the correct position of the first finger axis.The action is controlled through the monitor.Children carry out this type of operation when traditional treatment methods have not given results.
- Arthrodesis is a radical method.Deformation and pain are eliminated, but the connection becomes motionless.The lack of mobility does not affect a person's march.Through the open incision, parts of the proximal head and the first bone are eliminated, 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 specialist recommends bed rest.Soft tissue swelling is eliminated with cold compresses.The first 6 weeks of walking are only possible in an orthosis, which will eliminate an additional load of the limb.Restoration of ordinary motor activity: after 1.5 months.Rehabilitation has been about six months.The postoperative 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 liar position.Rehabilitation includes massage courses, electrophoresis, exercise therapy and UVT.
Complications
The surgical interventions of this plan are mainly tolerate at any age.But there are undesirable complications.These include:
- Thrombosis formation;
- infectious infections of the body;
- aseptic necrosis;
- restriction of the amplitude of the thumb;
- Nervous Terminations Injuries;
- allergic manifestations;
- Fingertips.
Forecasts after surgery
If the intervention is carried out on both feet, it is important to take a 3-6 months break.
If you follow the doctor's recommendations, forecasts are favorable.Do not load the limb operated with strong physical effort.After surgery, you must wear orthopedic shoes or special templates.It is better for women to leave high heels and dense shoes.Thanks to modern methods in the field of surgery, Valgus is subject to complete correction.