The surgical treatment of the valgus deformation is considered an efficient method of therapy.This disease is characterized by a pathological change in the form of foot, which requires renovation otherwise, complications are possible to disability.The operation is usually done in the 3-4 phases of pathology.
Surgery as an effective way of treatment Valgus
Development factors
Valgus Foot deformation is difficult to determine in the first phases due to asymptomatic.Balerines, women who prefer high students, people in advanced age, are in the formation of such pathology.Such reasons for forming the leg of Valgus differ:
- Endocrine system diseases;
- Flat feet;
- Breach of ligamental apparatus;
- Udova injuries;
- heredity.
This disease is classified in such stages of development depending on the degree of lesion:
- The first finger has been moved less than 20 degrees, while the patient feels discomfort.
- The connection is moved by 30 degrees.The pain is manifested after cargo.
- Volume of 30 to 50 degrees.Sensations of permanent nature pain that do not allow them to move normally.
- It is jointly moved more than 50 degrees.Strong deformation of the foot and acute pain.
In children, valgus deformation can be innate or acquired.This disease is developed against the background pathology of the musculos-bone system.The first signs appear when the child begins to walk.
What is Valgus dangerous?
During the development of such pathology, a sick person is faced with the problem of shoe selection, because the bulging bone brings hard discomfort and pain when touching.In addition to aesthetic modifications, Valgus deformation affects such foot structures as ligaments, tendons, bones and compounds.Like Valgus, feet are dangerous for the development of such pathology of the musculoskeletal system:
- deforming arthrosis;
- Bursit in chronic form;
- Longitudinal-transverse flat feet;
- Growth growth growth;
- Fully moving plus bones.
Indications for operations in Valgus
The inoperative treatment for Valgus deformation only performs a child until the foot is completely formed.The main indicators for the intervention are pain, discomfort, limited motor activity, inflammatory processes, infection, strong visual changes and injuries of walking.Residential and valgous foot is surgically processed.Other methods - Gymnastics, orthopedic shoes, suspend the development of pathology.But at 3-4 stages in conservative ways do not solve the problem.At this stage, the finger deviates from 25-35 degrees, and plus the bone sink 18 degrees, which are deformed to other phalans.
Providence types and characteristics
The selection of a certain type of operation is performed individually depending on the degree of development of pathology, the patient's condition and related diseases of the musculoskelnim system.Such types of surgical intervention are more commonly used:
- Osteotomy.It is a reconstruction.A small cut is made through which the lateatorashalangeal connection is performed.The elimination of bone growth is then conducted.Bone removal is performed on an immobilized compound.Osteotomy is performed with subsequent consolidation of bone fragments using compression devices.Distinguish the following subsce: Austin with a headquarters in the form of V- or L, which is used to display 17 °;A scarf with a distance of 17-40 ° in the form z z;Akin (Clina-cut) - combines with other methods.
- Small-Invasive intervention is a savings technique.They drilled on both sides of the thumb.The surgeon represents micro tools and returns the correct position of the axis of the first finger.The action is controlled through the monitor.This type of operation is performed by children when traditional treatment methods did not give results.
- Arthrodeza is a radical method.Deformation and pain are eliminated, but the relationship becomes stationary.Lack of mobility does not affect the person's walk.Through an open cut, parts of the proximal and first plus bones are removed, the remaining fragments are connected to screws that will be subsequently removed.
Correcting the position of the bone is complex work.Immediately after surgical manipulations, the specialist recommends that the bed rest.Swelling of soft tissues is removed by cold compresses.The first 6 weeks of walking can only be in the orthony, which will remove the extra load from the limbs.Restore 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 the doctor.To accelerate the recovery process, the operated limb is important for maintenance above the body in a false position.Rehabilitation includes massage courses, electrophoresis, exercise therapy and UVT.
Complications
The surgical interventions of such a plan is mainly submitted at any age.But there are undesirable complications.They include:
- the formation of thrombosis;
- infectious body infections;
- aseptic necrosis;
- Motor amplitude limit of thumb engine;
- injuries of nerve endings;
- allergic manifestations;
- Porresthesia Fingers.
Forecasts after surgery
If the intervention is carried out on both legs, it is important to take a break of 3-6 months.
If you follow the doctor's recommendations, the forecasts are favorable.Do not load the operated limb by powerful physical effort.After surgery, you must wear orthopedic shoes or special roles.It is better for women to leave high heels and thick shoes.Thanks to modern methods in the field of surgery, Valgus is subject to complete correction.