The operation of the hallux valgus deformity of the foot

Deformity of the hallux — a common disease, also known by several other names. Doctors speak of the hallux valgus deformity and hallux valgus, flat feet. People, is not associated with the medicine, simply called: "the bone" or smooth valgus.

deformity of the hallux the processing of the transaction

The condition is easy to determine. With the inside of the foot appears to be thickening in the form of corn. Periodically, it hurts and will gradually increase in size. Simultaneously, the big toe begins to deviate towards the second finger, in case it intersects with it. The aesthetic of imperfection, is a serious problem: the inability to use, the shoes, even daily. The next steps in the development of the disease can become arthritis, bursitis, and the inability of the self-motion.

Most often the first deformed finger at women who prefer to wear high-heeled shoes (more than 4 cm). In addition, it is an occupational disease of the dancers. Excessive loads not immediately, but after a moment, when remedy to the already difficult situation.

The surgical methods of treatment

Overall, all the delete operations smooth valgus are divided into minimally invasive and open. Minimally invasive is performed through small incisions on the skin. In most cases, is not even necessary to impose seams. The recovery is quick and easy.

At the operational opening of the interventions fall into three categories:

The manipulation of the soft tissues.

An example of a transaction from Poppy Bridal. Dissect the muscles and ligaments of the foot. The bones are not affected. An effective response for small deformations, can be performed in case of contra-indication of the part of the system osteo-articular.

Osteotomy.

Is an artificial fracture of the metatarsal. The site of the fracture chooses the doctor. Thanks to this corrects the position of the interphalangeal joint

The arthrodesis.

The operation is used in the stages of hallux valgus, when the need to return the physiologic shape of the joint.

The doctor, from the set of methods of intervention, chooses the one that is best resolves the problem of the patient.

The operation requires a prior preparation. Need to get the results of some analyses. Among them, the clinical and biochemical analyses of blood and urine, analysis of blood with a coagulogram, the analyses on the infections passed by blood. Prescribe using electrocardiography, take x-rays of the foot (required in both projections).

If contra-indication to surgery in order to remove the smooth valgus has not been an agreed upon method of anesthesia. Most often quite local anaesthetic.

deformity of the hallux the treatment of the transaction of reading

Osteotomy distal

The most common surgery method for correction of the hallux valgus deformity is an osteotomy of the distal. The operation proceeds in several steps:

  1. The first step

    Azotobacteria, or the removal of "os". Non licet cases, this step may be the only one. Through a small incision of the skin or even without cutting, by endoscopic surgery, removes itself exostosis (bone) and painful joint bag.

  2. In the second step.

    Distance of the osteotomy. With the help of the fracture and straighten the position of the first metatarsal. The place of fracture is consolidated with the help of titanium screws. They disappear after a month, after the bone is fully successful.

  3. In the third phase.

    The dissection of the muscles, responsible for the evacuation of the thumb.

  4. The fourth and final phase.

    The fixation of the thumb physiologic position.

The surgical treatment is smooth valgus: testimony

Correct the position of the thumb of the conservative methods may be in childhood, when the skeleton bone still formed. In all other cases, the aid is a single operation. The main indications are:

  • discomfort when walking, due to the unbearable pain;
  • the gap of the joint of several tens of degrees;
  • greatly bulging the bone, not giving the option of wearing shoes;
  • the violation of the position of the feet, obstruct traffic;
  • swelling of the thumb;
  • inflammatory event and other complications smooth valgus.

The witness determines the physician for each patient individually. Usually, surgical methods apply when the conservatives (the usual methods, without surgery) are not effective.

Contra-indications to the treatment

The quick response is very effective. Unfortunately, a number of contra-indications, when its execution impossible:

  • obliterating atherosclerosis and other serious peripheral vascular disease;
  • diabetic foot (decompensated diabetes);
  • the diseases of the organs of hematopoiesis, coagulation disorders;
  • the violation of the innervation and the vascularization of the foot of any origin;
  • purulent infection.

The myths about the removal operation smooth valgus

Among people there are many myths about surgery to get rid of the "os". Dispel some of them.

You can't do the operation, if there is arthritis and osteoarthritis. In fact, these diseases are considered relative contraindications. The operation is as possible, just the doctor will treat you with the utmost attention.

No need to operate: the os anyway soon grow. If qualitatively carried out intervention of the likelihood of re-development of hallux valgus tends to zero. Relapses occur, but very rarely.

Have time to sit down, without movement and to wear a plaster cast. Modern technologies give the opportunity to move a few hours after the procedure. The bones are held together special designs, is, therefore, a need in the plaster is not.

The possible complications

smooth valgus surgical treatment one of the safest. Complications are extremely rare. Among the side effects are:

  • numbness of the fingers due to a deterioration of the nerve fibers;
  • hypersensitivity reactions (allergy);
  • violation of the amplitude of the movements of the thumb;
  • the membership of the infection;
  • deep vein thrombosis;
  • the fusion of the head of the metatarsal.
deformity of the hallux the processing of the restore operation

How to recover after an operation

Extremely important to the recovery period after a surgery to remove the smooth-valgus. It is 4-6 months. Detailed instructions on how to behave in the recovery period, gives the doctor.

There are common aspects to rehabilitation, to know all the patients.

The first and the second day. The bed rest. Move is possible, but it is better not aktivnichat. It is recommended to keep the foot on the hill, and from time to time, if no pain, move his fingers.

On the third day. Can begin slowly to move. It is important to choose practical orthez and shoes, which after the operation should be special, remove the burden of working with the staff of the foot. In most cases, used shoes Baruka (French surgeon who invented it), exonerandas before the division of the foot when walking. In a first step, for you get used to it, you can ensure yourself of additional support in the form of a cane or crutches. Three to five days, they will be already not need.

10-14 days. The period of doctoral supervision. In the case of a serious operation during all this time, the patient can proceed to the clinic. Are recommended sessions of physiotherapy, and physiotherapy. For a long period of time on the legs is not desirable.

Later, 1-1,5 months dtache the need of Orthez, but the shoes after the surgery is preferable to use appropriate orthopedic insoles.

After 2 months, you can do the exercise bikes and swimming in the pool.

Up to three months may be persistent swelling of the foot and ankle. At this time, it is recommended to apply cool compress, wear compression.

By 4 to 6 months, it is possible to get around without a brace, to take up the sport, wear high-heeled shoes. Quality of the rapid restoration and rehabilitation require to make a choice in favor of the practice off the shoe. Don't forget to create conditions of comfort to your feet for a difficult situation that is not repeated.

11.09.2018