Surgical treatment of the deformation of the valgus is considered to be an effective method of therapy.This disease is characterized by a pathological change in the shape of the foot, which requires restoration, if not, complications are possible until disability.The operation is generally carried out at 3-4 steps of pathology.
Surgery as an effective treatment method Valgus
Development factors
Valgus deformation of the foot is difficult to determine in the first stages due to asymptomatic.Ballerinas, women who prefer to wear high stallions, advanced age, are located in the formation of such a pathology.Such reasons for the Valgus foot formation are distinguished:
- endocrine system diseases;
- flat feet;
- violation of the ligament apparatus;
- members' injuries;
- heredity.
This disease is classified as such stages of development according to the degree of lesion:
- The first finger is less than 20 degrees offbeat, while the patient does not feel discomfort.
- The connection is offset by 30 degrees.The pain manifests itself after the charges.
- Move 30 to 50 degrees.Pain sensations of a constant nature which do not allow you to move normally.
- The seal moves more than 50 degrees.Strong deformation of the foot and acute pain.
In children, the deformation of the valgus can be congenital or acquired.This disease is developing in the context of pathologies of the musculoskeletal system.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 selecting shoes, because the bombed bone leads to serious discomfort and pain when touching.In addition to the aesthetic changes, the deformation of the valgus affects such structures on the foot such as ligaments, tendons, bones and compounds.In addition to the valgus, the feet are dangerous for the development of these pathologies of the musculoskeletal system:
- distorting osteoarthritis;
- Grant in chronic form;
- Longitudinal transverse feet;
- the growth of bone chief structures;
- Full movement of the bone plus.
Indications for operations in Valgus Foot
Non -operational treatment for deformation of the valgus is only carried out 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 walking.The flat valgus foot is only treated surgically.Other methods - gymnastics, orthopedic shoes, suspend the development of pathology.But at 3-4 stages conservatively so as not to solve the problem.At this stage, the finger dilapidated 25 to 35 degrees, and the bone flows for 18 degrees, which is distorted by the rest of the phalanges.
Providence types and characteristics
The selection of a certain type of operation is carried out individually according to the degree of development of the pathology, the state of the patient and the related diseases of the musculoskeletal system.More often, such types of surgery are used:
- Osteotomy.These are reconstructions.A small incision is practiced through which the Latarsophalangian connection is made.Then, the elimination of bone growth is carried out.The removal of the OS is carried out on the immobilized joint.Osteotomy is carried out with the subsequent consolidation of bone fragments using a compression titanium device.Distinguish the following subspecies: Austin with V - or L section, used for a 17 ° display;Scarf with z-shaped deviation of 17-40 °;Akin (corner -shaped) - combines with other methods.
- The intervention in small invasive is a technique spared.The punches 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 by the instructor.This type of operation is carried out by children when traditional processing 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 approach.Thanks to the open incision, parts of the proximal bone head and the first plus are removed, the remaining fragments are connected by screws which will then be removed.
Correcting the bone position is a complex operation.Immediately after surgical manipulations, the specialist recommends rest in bed.The swelling of soft tissues is eliminated with cold compresses.The first 6 weeks of walking are only possible in orthosis, which will eliminate an additional charge from the member.Restoration of ordinary motor activity - after 1.5 months.Rehabilitation takes about six months.The postoperative period (10 days) The patient is in the hospital under the supervision of doctors.To speed up the recovery process, the operated member is important to stay above the body in a lie.Rehabilitation includes massage lessons, electrophoresis, exercise therapy and UVT.
Complications
Surgical interventions of such a plan are mainly tolerated at any age.But there are unwanted complications.These include:
- thrombosis formation;
- infectious body infections;
- Aseptic necrosis;
- restriction of the motor amplitude of the thumb;
- injuries of nerve endings;
- allergic manifestations;
- Paresthesia of the fingers.
Forecast after surgery
If the intervention is carried out on both feet, it is important to take a break of 3 to 6 months.
If you follow the doctor's recommendations, forecasts are favorable.Do not charge the member operated with a very physical effort.After surgery, you should wear orthopedic shoes or special soles.It is preferable 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.