The bone in the big toe surgically

When you are prompted, bone, leg, podiatrist conservative methods to correct the deformity allows a timely appeal

Unfortunately, not all people with symptoms of pain until the doctor appears and state changes to the attention forcibly, case study, pathology and the bone in the big toe correct removal only (allowing for not only get rid of pain and prevent the progression of the disease operation, but at the same time, the dome of the back foot).

Any surgical treatment, bone, leg

Operation

Surgically the leg bone, which provides additional explanation to correctly assess the degree of deformation made after the reveal, concomitant pathologies and diseases.

Operational methods for selection (there is about 100 different method) effects:

  • the type of deformation;
  • status of bone and soft-tissue of a specific patient;
  • presence of somatic diseases.

Lifting on the legs because core currently used in many cases, less traumatic methods and modern anesthesia, surgical intervention does not affect the age of the patient selection techniques.

Perhaps application:

  • Like a lot of the most effective method is applied to the osteotomy. Steering joints deformed in any way during the process of tissue osteotomy, bone intersecting (who close her on the other end of the transverse or Z-metaphorical or along the main phalanx), bone fragments, and the hard special staples or screw installed in the correct location.
  • Arthrodesis. Such a surgical intervention in very rare cases, because the operations main purpose: create a fixed connection does not allow the back foot completely. The processes largely devastated indication of this type of joint, thumb, back in the correct position using osteotomy is impossible. During operation of the metatarsophalangeal joint is removed, and the bone – are connected to each other. The disadvantage resulting from this method then boiling it in place as a burden, constantly need orthopedic shoes or clothing.
  • Resection arthroplasty in which the joint surfaces of the removed parts. The connective tissue fills the cavity between these parts remains in the healing process in the bone (pseudarthrosis formed in this way). This process does not features the full recovery of the foot.
  • Fix cross-foot belt. This type is not corrected with surgery, joint, and bone and soft tissue around the problematic area. The 1st metatarsal transplanted for operation with the thumb thumb thumb and hold the left nov the response of the tendon to the Bone refused the muscle in position, the corner between the bones of the foot varies, and the arch of the foot recovers their normal form. The method is effective in the early stages of the disease.
  • Removing exoskeleton which self-tuber (department heads metatarsal bone) and soft tissue in the area of the affected joint. Hiking, recovers after surgery, the pain is eliminated, but a possible recurrence.

Common methods

Surgeon

Operation T-Bone the bone of the big toe using the most frequent method including:

  • Scarf-osteotomy. The expression that is used to moderate hallux valgus. Many slip metatarsal bone to rotate the head piece in the longitudinal direction to lengthen or shorten the first metatarsal bone, allowing bone fragments to obtain a greater spatial proportionality, joints and the inner part of the foot and reduce the load on the joints. The technique gives good results with soft tissue correction.
  • Osteotomy the Austin/Chevron, which held that a V-shaped junction of the first metatarsal. In the event the small hallux valgus, provides its metatarsal bone head glide 1/2 width (1/2 width engine displacement maximum stability necessary for the boiling of bones for the bone may be sufficient).
  • Organized Flocking main osteotomy (proximal epiphyseal plate adjacent the level of the parts of tubular bone). Mandatory accompanying manual correction hallux valgus. Metatarsophalangeal joints, thumb nail parallel to the bone and intersecting the lodge, wedge-shaped piece is removed.

The bone in the big toe surgically will be made:

  • The method according to Vail (small oblique metatarsal osteotomy). Many bones were found in the middle in the longitudinal direction and the spatial metatarsal bones Malleus Head returns to normal position and allows informicus helps to eliminate deformation.
  • According to the method of Schede-Grandes (marginal resection medical the curvature of the bone (exostosis')). The bone edge surface that is removed during surgery, 1. the metatarsal and proximal phalanx of the finger on the top part of the foot base, securing a splint in a particular position, then held for 2 weeks for traction lug phalanx of the thumb.

It gives good cosmetic result surgically from foot, according to the method vredir kernel-Mayo (is to remove the head 1. the metatarsal with a shooting), however, to eliminate the main support cushion, the support function of the foot walking violation observed after the operation stops.

The removal of bone in the big toe according to the method Calcinha (junction turn heads with bones, 1. metatarsal bones) and the trapezius wedge-shaped resection 1. Boma metatarsal bone according to the method of Reference and if that does not resolve the medical deviation 1. metatarsal the foot of the dome and back, so often accompanied by relapses.

Can be offered to the patient, reconstructive and Aesthetic Surgery, correction of foot deformities component for several purposes:

  • Kramarenko and Boyarsky method, a method of operation which when done Schede-Brands, to resolve the medical deviation 1. transverse osteotomy of the distal metatarsal bone planetinvader joint produced, and the resulting wedge-shaped crack with a hammer, created, deleted, piece, before the bone graft. Mylar tape cruciate ligament that creates the foot, the 1st metatarsal bone in the proper position and holding (1 capsule with ribbon stitched edges. and 5. joint disposition). After the surgery, the foot plaster bandage impose 4-5 weeks.
  • Surgery cake decorations and Hanif, as soon as you cut into the bone in which the defect is eliminated by using the cleaning 1. planet invader s. The long extensor carpi tendon cruciate ligament of the foot 4. the foot with a finger.
  • A cruciate ligament surgical technique accompanied by the formation of Cyto in the form of a mylar Strip and eight-foot Klimov.

If necessary, the prosthesis is removed and an artificial joint which is made completely deformed.

How to uninstall leg bone

Foot

Currently, at least internally, to remove the bone with the feet against injury using:

  • Minimally invasive techniques, which sector is more than 3 mm (deformity – 10 mm). Surgical manipulation (section and Offset from the junction of the bones) is done through this small incision under the control of radiography. The advantages of minimally invasive osteotomy rehabilitation period short and almost inconspicuous scars, pain, and the risk of complications is low. Minimally invasive treatment requiring local or general anaesthesia used epidural), but that may apply only mild deformation of the thumb.
  • The thin layers of bone tissue laser that allows you to delete so you can keep joint mobility. When the rehabilitation period is shorter, the traditional snack for recruitment intervention (drill, sleeve, screwdriver, clamp). In the absence of core on the legs removal laser used, the patient's hallux valgus deformities and other foot complications.

During the Access operation may be:

  • open (bone cut fabric using a surgeon scalpel, thanks to the process of visual inspection and Correction monitors);
  • off (manipulation is done through a small incision, the control performed X-ray).

Removing core leg laser – grinding the side surface of the foot with the leg bumps up the full comparison, through a small cut in it. To remove the bone using laser resurfacing is accompanied by:

  • exoskeleton;
  • osteotomy;
  • resection arthroplasty.

Hallux valgus connects laser removal advantages:

  • disinfection, wound laser under the influence downloads, to minimize the risk of infection;
  • the blood loss because of big or at least manipulation being carried out through a small incision;
  • no effect, on surrounding tissue;
  • fast recovery;
  • shorter-term transactions (lasts 1 hour, then delete it with traditional surgical methods, such as bumps takes about 2 hours);
  • I need to wear a cast after the surgery.

Any method of removing bone on the leg consists of several stages. The most common surgery in the process of:

  • The inner phalanx of the thumb is made.
  • Organized capsulotomy (the first joint steering disposition of the capsule).
  • Running excision, bone curvature (removing thorn).
  • Osteotomy the first metatarsal bone and trimmed).
  • The surgeon moves pieces of bone and a deformed metatarsal axis by changing the site.
  • Hard titanium bone screws, or staples.
  • The capsule and the incision sutured.
  • Access to the place on top of a sterile bandage.
  • On the top of the foot fixing bandage or plaster (depending on the type of transaction).

In the absence of discomfort does not remove the titanium screws.

Contraindications

Correction

Though less traumatic bone surgery leg usually instructions with the application methods, there are a number of contraindications her wedding. Operation is contraindicated in:

  • blood clot accompanied by inflammation of the arteries and blood clotting disorder;
  • diabetes, obesity;
  • heart failure;
  • tissue from impaired blood circulation of the foot;
  • Nov pathology-skeletal system.

The laser removal leg bone there are almost no contraindications, but the procedure required before preoperative evaluation survey.

Preparation

First, remove the stones on their feet, uncover Pathology provides a comprehensive description of all required to pass a foot – foot and chest or magnetic resonance imaging with two different.

Surgery may include removing bumps, thumb as Hammer feet the problem of deformation, the other fingers, feet, etc.

The patient has a good delivery dispatched preoperative analysis:

  • blood (general, biochemical, coagulation sugar);
  • urine (general analysis);
  • detect hepatitis and HIV;
  • ECG;
  • chest X-ray.

Rehabilitation

Depending on the rehabilitation period of time:

  • an amount a remote fabric;
  • the working method.

Again, in the postoperative period required for retention the feet. If the patient has removed only a portion of the metatarsal bone and the operation without the use of laser, foot hard, when you delete the 4 weeks of the joint increases during this period to 10 weeks.

After rehabilitation, or minimally invasive laser procedures and it takes less time than as it turns out, flows more smoothly.

The load of the foot in the postoperative period is limited, you are allowed to walk, after an average week (pressure, stop working, and in this case limited). A normal walking trail, after consulting with your doctor (on average, month). Time Scarf-osteotomy permissible load orthez who immediately after surgery a special.

The patient is assigned to:

  • a comprehensive treatment (anti-bacterial, anti-inflammatory and pain medications);
  • physical health complex is a doctor, separately;
  • wearing orthopedic shoes or special arch support and a wide soft shoe with intensive;
  • wearing orthopedic insoles.

In the postoperative period is assigned to LFC, but always meeting start dates depends on the method processes:

  • During Operation, Schede-brands held in the gymnasium Level 4, 5. the day after surgery. The patient then advice all the time wear to hold the pen 1. your finger is in the correct position.
  • When you use the transaction to LFC, and Kramarenko Boyarsky begins to pass 1. 5 foot with a finger. day. After removing the plaster bandage on the foot to stop the front section of hard rubber cuffed, supporting a cross-vault.
  • Plaster immobilization techniques while using CYTO takes 1-1,5 months. LFC play starts, 4., 5. after the day of the surgery.

A similar exercise is used for exercise to prevent hallux valgus in the postoperative period.

18.09.2018