Surgical treatment of valgus deformation 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 surgery is usually performed in 3-4 stages of pathology.
Surgery as an effective method of valgus treatment
The factors of development
Foot valgus deformation is difficult to determine in the early stages due to asymptomaticism.Ballerinas, women who prefer to wear high studs, people of advanced age, are located in the formation of such pathology.Such reasons for the formation of the valgus leg are distinguished:
- diseases of the endocrine system;
- flat feet;
- violation of the ligamentous apparatus;
- Limb injuries;
- inheritance.
This disease is classified into such stages of development depending on the degree of lesion:
- The first finger is less than 20 degrees displaced, while the patient does not feel discomfort.
- The connection is moved by 30 degrees.Pain manifests after loads.
- Displacement from 30 to 50 degrees.Sensations of pain of constant nature that do not allow to move normally.
- The shock changes more than 50 degrees.Strong foot deformity and acute pain.
In children, valgus deformity may be innate or acquired.This disease develops against the backdrop of pathologies of the muscular system.The first signs appear when the baby begins to walk.
What is Valgus dangerous?
During the development of such a pathology, a patient faces the problem of shoe choosing because the swollen bone brings discomfort and severe pain when it affects it.In addition to aesthetic modifications, valgus deformity affects such standing structures as ligaments, tendons, bones and compounds.As well as valgus, the legs are dangerous for the development of such pathologies of the muscular system:
- deformation of arthrosis;
- Bursitis in a chronic form;
- Flat longitudinal-transverse feet;
- Increased bone careful structures;
- Full Bone Plus displacement.
Indications for operations on the valgus leg
Non -operative treatment for valgus deformation is performed only by the child until the foot is fully formed.The main indicators of intervention are pain, discomfort, limited motor activity, inflammatory processes, infection, severe visual changes and walking violations.The flat-valgus leg is treated only surgical.Other methods - gymnastics, orthopedic shoes, suspend the development of pathology.But in 3-4 stages in conservative ways not to solve the problem.At this stage, the finger deviates 25-35 degrees, and the bone plus sinks 18 degrees, which is deformed by the rest of the phalanges.
Types and features of providence
The selection of a certain type of function is performed individually depending on the degree of development of the pathology, the condition of the patient and the diseases related to the muscular system.Most often such types of surgical intervention are used:
- Osteotomy.Is reconstruction.A small incision is made through which the connection of the Lateatarsophalangeal is performed.Then the elimination of bone growth is performed.Bone removal is performed in the immobilized joint.Osteotomy is performed with subsequent consolidation of bone fragments using the compression titanium device.Distinguish in the following species: Austin with V- or L form, used for a 17 ° screen;Z shaped scarf at 17-40 °;Akin (wedge -in shape) - combined with other methods.
- Small -Invasive intervention is a savings technique.Punches are made on both sides of the thumb.The surgeon presents micro-vestees and restores the correct position of the axis of the first finger.The action is controlled through the monitor.This type of surgery is performed by children when traditional treatment methods have not yielded results.
- Arthrodesis is a radical method.Deformation and pain are eliminated, but the connection becomes immobile.Lack of mobility does not affect a person's walk.Through the open cut, the parts of the proximal bone head and the first plus are removed, the remaining fragments are connected to the screws that will then be removed.
Bone position correction is a complex operation.Immediately after surgical manipulation, the specialist recommends resting the bed.The soft tissue is removed with cold compresses.The first 6 weeks of walking are only possible in an orthosis, which will remove an extra load from the limbs.Restoring ordinary motor activity - after 1.5 months.Rehabilitation takes about six months.Post -surgery period (10 days) The patient is in the hospital under the supervision of doctors.To speed up the recovery process, the operated limbs are important to keep the body in the position of lying.Rehabilitation includes massage courses, electrophoresis, exercise therapy and UVT.
Complications
The surgical interventions of such a plan are mainly tolerated at any age.But there are undesirable complications.These include:
- thrombosis formation;
- infectious infections of the body;
- aseptic necrosis;
- restriction of motor amplitude of the thumb;
- damage to nerve endings;
- allergic manifestations;
- Finger paresthesia.
Post -surgery Forecasts
If the intervention is performed on both feet, it is important to take a 3-6 month off.
If you follow the doctor's recommendations, the forecasts are favorable.Do not load the limb operated with a strong physical exercise.After surgery, you need to wear orthopedic shoes or special bedding.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 complete correction.