Surgical treatment of hallux valgus

Effective method of therapy considering the surgical treatment of hallux valgus. This disease is characterized by pathological changes of the shape of the foot, which requires a recovery otherwise the possible complications until disability. The surgery is usually performed on stage 3-4 disease.

Hallux valgus

Surgery as an effective treatment valgus

Development of factors

Hallux valgus is defined, it is difficult in the early stages, due to the asymptomatic. A predisposition to the formation of this pathology have dancers, women who prefer to wear high-heel shoes, people of the third age. Identify the following reasons for the formation of hallux valgus foot:

  • diseases of the endocrine system;
  • flat feet;
  • the violation of the ligamentous apparatus.
  • the injuries of the extremities;
  • the inheritance.

This disease is classified into the following stages of development depending on the extent of damage:

  1. The first toe is displaced to less than 20 degrees, and the patient feels no discomfort.
  2. The connection is shifted 30 degrees. The pain occurs after exertion.
  3. The offset of 30 to 50 degrees. The pain of a continuing nature that do not allow move with normality.
  4. The articulation is shifted more than 50 degrees. Severe deformity of the foot and a sharp pain.

In children hallux valgus can be congenital or acquired. This disease develops on the background of pathologies of the apparatus the musculoskeletal. The first symptoms appear when the child begins to walk.

What is dangerous valgus?

During the development of this disease that a patient is faced with the problem of selection of shoes, because bulky os brings severe discomfort and pain when you touch it. In addition to aesthetic modifications, valgus deformity affects this type of structures in the foot, the ligaments, tendons, bones and joints. And valgus of the foot dangerous development of this type of pathologies of the locomotor system:

  • arthrosis deforming nature;
  • bursitis in the chronic form;
  • longitudinal-transverse platypodia;
  • the growth of the bone and cartilage structures;
  • full displacement of the metatarsal bones.

Indications for surgery for feet valgus

Directions for the operations in valguse foot

Non-surgical treatment for hallux valgus is only the child, while the foot is not fully formed. The main indicators to serve as intervention pain, discomfort, restricted physical activity, inflammatory processes, infection, a strong visual changes and gait disturbance. Planovalgus foot is treatable only by surgery. Other techniques — gymnastics, shoes orthopedic, and suspending the development of the disease. But in stage 3-4 conservative methods do not solve the problem. In this stage, the finger is deflected by 25 and 35 degrees, and the metatarsal bone sinks to 18 degrees, which distorts the rest of the phalanx.

Types and characteristics of Providence

Selection of a particular type of operation is carried out individually, depending on the degree of development of the disease, the patient's condition and comorbidities of the locomotor system. Often used these types of surgery:

  • Osteotomy. It is the type of reconstructive surgery. He made a small incision, which is carried out through the lateral incision metatarsophalangeal joint. This is followed by a removal of bone growth. The removal of the bone is carried out in a fixed joint. Osteotomy is performed with the subsequent fixation of bone fragments with titanium compression device. There are the following subtypes: Austin V - or L-shaped section, used in the compensation of 17°; Handkerchief of Z-line — at 17-40° deviation; Akin (wedge) — is combined with other methods.
  • Minimally invasive intervention— saving technique. Stitches in both sides of the thumb. The surgeon inserts micro-tools and restores the correct position of the axis of the first finger. The control action is carried out by the monitor. This type of operation is carried out for children when treatments the traditional have failed.
  • Arthrodesis is a radical method. The tension and the pain are eliminated, but the fixed connection. The lack of mobility does not affect the motion of the person. Through open cut removes part of the proximal head and the first metatarsal bone, the other fragments are connected with screws, which after being removed.
Rehabilitation

Adjust the position of the bone is a complex operation. Immediately after surgery specialist recommends rest. Swelling of the soft tissues is eliminated cold compresses. The first 6 weeks walking is possible only orthosis that will relieve additional strain from the limbs. Restoring normal motor activity after 1.5 months. Rehabilitation takes about six months. The post-operative period (10 days), the patient in the hospital under observation of doctors. To speed up the process of recovery, the limb operated, it is important to keep to on the body in the prone position. Rehabilitation includes massage, electrophoresis, exercise therapy, and shock wave therapy.

Complications

The operation of this plan are mostly well tolerated at any age. But there are unwanted complications. These include:

  • the formation of the thrombosis;
  • the infection of the body;
  • necrosis, aseptic;
  • the breadth of the limitation of motion of the thumb;
  • injury nerve endings;
  • Allergy symptoms;
  • paresthesia of the fingers.

Expectations after surgery

If the intervention is carried out on two feet, it is important to take a break in 3-6 months.

If you follow the doctor's recommendations, the forecasts are favourable. Needless to loading of the limb operated strong physical effort. After surgery you must wear footwear brace or special insoles. Women to refuse high heels and narrow shoes. Thanks to modern methods in the field of surgery is due in full valgus correction.