Methods of plastic surgery for a finger tip defect and results. The operation on the hand of the great toe: see, shows the counter-indication The Hochmann operation is performed like this

Shortening of fingers is not the same as the same operation in plastic surgery... It is unreasonable to call the operation Popelyushka, allowing you to correct the shape of the fingers and change the size of the leg. The procedure is of its own peculiarity, as it is necessary to be able to do it, if it is necessary to play it.

Shho also shortening fingers nig

Shortening fingers nig is a procedure, if you have a chance to use it, you will be able to use it, for it is anomalous in the given region. The operation of transferring a defect and updating the functionality of a file.

witness

Such a procedure is most often of a natural character, if it is sometimes indicated in medical indications, for example, in case of persistent rubbing, pains, in fingers, growth of cartilage and cystic tissues. Most often, the hair of the "walnut foot" grows before it, when the other finger appears on the other ones, the other defect can appear both on the susceptible ones, and then on the little ones.

For natural reasons, you can also be vicious through:

• The ill-wills to wear swollen on the high pidbora;
• Seeing discomfort with any type of swelling;
• Vrodzheni or nabuty for injuries of anomalies of the phalanges;
• Deformation of fingers in front of injected internal and external reasons.

You can choose the type of operation. At the same time, the injection can be seen.

see

In the process of changing fingers nig vicorist, be it from the pro-proponated methods. To build up a turn to a defect and a specific finger. So get stuck:

• Osteotomy of the mold brush with abnormal growth;
• Osteotomy of the phalanx during bends of the whole part;
• Osteotomy of the phalanx and mold cyst, as well as the presence and hammer-like deformity of the finger (most often with a rotated flatfoot of the transverse type);
• Arthrodesis of the interphalangeal proximal hinge with bending deformities of the hammer toes of the type with supravaculatory stiffness. Also, vikoristovuєtsya and when bazhannі children wear only a model swagger.

showing

Shown before zasosuvannya є taki factor, yak:

• Aesthetic vimogues up to the everlasting view of the feet and fingers;
• Vrodzheni defects of budovi fingers;
• Add defect bugs and fingers;
• Deformations, wickedness for any reason;
• Post-traumatization of the finger;
• Bazhannya wear vіdkrite swirling on high pіdborah.

Prototype

Prototype indications, for any operations, do not carry out:

• Destruction of blood loss;
• Infectious pathology in the field of involvement;
• Destruction in the robot heart-vascular system(including,);
• obesity;
• Blood circulation disorders in case of innervation of the foot;
• Hypersensitivity to the warehouse of anesthesia and other drugs;
• Thrombophlebitis.

Correlation with different methods

If you talk about other methods, then it is an analogue of conservative methods, for example, the registration of special accessories for training silikonovyh or hard fixators, hinged attachments. The stench can change to show a number of defects, but I’ll have to put it down, or if my fingers grow shorter, it’s not.

carrying out

Carrying out the procedure for training. It is especially important to be quietly vapors, if є contraindicated, as vyavlyayutsya on a regular basis. In such cases, it is necessary to undergo the therapy of the main ailment beforehand, and then again about the operation.

Necessary analysis and come in

be carried out external diagnostics, Yaka store from:

• fluorography;
• Analysis on, SNID i;
• X-ray of the feet.

Acceptance of anticoagulants and other medications, which are injected into the warehouse of blood, should be pinched approximately two months before the operation. In the same period and alcohol.

Obov'yazkovo is a merciful child.

algorithm

The very operation of the loan is close to a year. A lot of patients got involved in a trip to the dentist, so as, when a patient is a patient, they get lost in witness and everything is necessary to rob a license. It’s impossible to see it at all. The robot should be held approximately close to one finger over one finger. If it is necessary to process some of the elements, then the manipulation can take more than an hour.

Follow the offensive algorithm:

1. Zastosovuєtsya zagalnaya anesthesia abo epidural;
2. Struggle for oversight in the field of manipulation;
3. Excess fabrics can be seen through the access;
4. Kistki with gwent;
5. Shkira stitches.

In case of correction of valgus deformity, the procedure can be considered. Struggle to grow out of the basics great finger from the side of the foot. The slope is cleared from the build-up, a wedge-shaped wedge-shaped brush can be seen at the middle phalanx. Give your finger to move in normal position and fix with gwent.

Possibility of summing up with other types of plastics

Be it the type of a given operation, you can see the display in the fallowness. So the osteotomy can be carried out one hour on the mold brush and the phalanges of the fingers. Arthrodesis of the midphalangeal swelling is not only the swelling of the capsule, but also the tendon, m'yak_ fabric.

In the process of operations, you can also see a part of the shkiri, which is a surplus. Pins obov'yazkovo vstanovlyuyut, schob set a direct line to the process of starting the keys. For the correction of the finger axis, it is necessary to change the tendon apparatus in the area of ​​manipulation. In case of valgus deformity, there is a risk of relapse, if practice shows, the symptomatology of the operation is less pronounced.

rehabilitation

The rehabilitation is carried out in stages:

• For the first three days, yakomoga walk less. It is more beautiful to take a lying position with raised legs on the floor.
• 2 tizhn_ oversupply to go to the police for help.
• Shvi will be covered with antiseptics until after 10-15 days and until the surface of the wound is burned again.
• Stasis special fiksatori.
• In a month, you can step on the damaged areas, or just behind the wear of the orthopedic swelling.

In 2 months it is possible to wear extra shoes, ale without a high heel, and a model is allowed to swell up in 3-4 months.

quickness

The folding most often develops through the lack of attention to the rehabilitation regime, and in some cases it can manifest itself through unclear operations. Appear to the viglyad:

• bleeding;
• Support for the growth of knitted fabrics;
• chronic pain syndrome;
• Waste of sensitiveness of the operated area;
• Zsuv kistkovyh slopes;
• Unsatisfactory aesthetic calling of fingers.

Assessment of methods of plastic surgery, Scho zasosovyatsya at the moment of the finger tip, to be guided lower.

Shkirny klapot Tirsha from a decrease in the level of resistance to epidermis, the disease does not become stagnant. The method of Reverden gives good results when a finger tip defect is replaced, however, when defects are evident, it can reach the cysts, causing the visibility of the fat cells and the results of such plastics are not satisfactory. This is a way of stagnating only when surface defects are present. Reverden the method of Reverden in the revised literature on robots Ertsi II. Zoltan.

Vila transplantation of shkiri behind the Krause method More authors look at it in a way that is suitable for replacing any defect in the finger tip. Kirschner і Gorband, nav Meltzer і Fillinger lock your shkirny valve Tirsha, so that you can take revenge in your and your papillae. In a shortage of ways, those who often do not get accustomed to an unrevealed surgeon often do not take root, and since a transplant of a skin cannot be inserted from a fatty tissue, it cannot be stuck to replace a defect with a volar surface.

shortcomings way polarity and in the fact that the small flap is very wrinkled, it gets pigmented, and it is nareshty, temperamental, painful and the tactile sensitivity of it changes for a trivial hour or it is not enough. In the engraftment of a dermatome (epidermal valve), it is possible to grow more, lower in the engraftment of the Krause valve.

Epidermal valve transplantationє one of the most accepted methods of plasticity. Vona is described by Blair, Brown and Baiers, followed by Pageta and immediately with them, and just right by them, by the Ugorsk presenter of Kettesh. In the Ugorshchyna, the way to enter into wide practice І. Zoltan. Win with great success stashed "to replace the defect of the shkiri in such drops, if the child's fatty klitkovin is saved, if only in the substitution of the non-consumable consumer (Zoltan)."

Replacement of defects in shkiri The hollow surface of the hand and the tip of the fingers is the most successful to see the suction of the power of the hand in the view of the displaced or pedunculated valve. Zrozuilo, wow, the wispy shkіra of the brush, looming especially Budova, overturning the qualities of being the only one, being the great of merit and superbly sensitive. Density of sensitive nerve endings during the period of general renewal of sensitive functions by stretching out decliners.

also shvidko update and the function of the most common trees, so as the number of them in the brush is three times more, less in the womb (Horn). The price is great for the flooded of other objects (for example, arkush paper, paper pennies). at plastic operations even important factє The manifestation of a rich vascularization of the transplanted shkiri, in the first place, will obstruct the problems of ischemia and infections. With the transplantation of a strong skin of ailments brush, a stationary treatment is not required, but in a crossed immobilization (fixation to the middle hand, to the abdomen wall). You can stop it until contractures are established.

at rub in the soft fabrics of the finger To replace the defect in the hair brush, the brush can be made using the methods described below.

Plastic by KLAPPє vidozm_noy method of pokrittya amputee kuksi according to Zamter. In Denmark, there is an hour of success with surgery, so that a small defect is lost. to replace great defects wіn is also unauthorized.

way of Markus Polyaga in the shortened kisstki and the illumination of the volar shkіrny valve in such a rank, that from the shkіri from both sides there is a little bit of a triangular form. If it is obvious, the demonstration before the shortening of the way will be successful.

Plastic on Trankiyі - Lіlі- according to the notice of Kosha - in case of closed defects of the school, you will receive an indication of the results. On the volar surface of the finger, there is a tricot nibble clap, the top of which grows down to the brush. Then he can take a stand up the hill, and before he hangs over his bed, or by himself. Tsey method with a great defect in the pulp of the finger gives fewer good results, less when using a small finger.

clinikoy Llohi in 1945, a number of plastic techniques were propounded for the use of fingerprints. The basis of the method is the displacement of the shkirny valve. Similar to Lengemann, we have good results with a fixed method of eliminating good results.

The change of the power of the finger called for pleasant results in the practice of Eiler, Ehal't, Henzl, Gessenderfer, Lengemann, Reis, Bofinger and Stucke.

Plastic with a shkirny valve on the bottom, We take from a small group of hands, for example, from the distant dalyanoks, Izelen and Bunnell will be stagnant in the first place when a great defect in the soft tissues of the distal phalanx of the great and probable fingers is renewed.

Tenarniy klapot it is taken from the shkiri of the thumb pivot, while the proximal between the valve is not guilty of the thumb pivot. The defect of the shkiri, which is lost in the area of ​​the thenar, is substituted for an additional transplant of the shkiri.

palmar clap adjunct to the replacement of defects of the thumb. As soon as the valve is left, you can get out of hand in any direction, just after you have spared your fingers and nerves.

Cross-palatsovy klapot There is no problem for the replacement of defects not only for the tip of the great and for the fingers, but for the defects in the volar surface of the middle and main phalanges. Tsey sposіb dozіlno zastosovuvati depriving young people (Horn). The way of rejecting such valve indications on the Bofinger and Curtis diagrams, and the Budovi diagrams on Curtis' little ones.

Zastosuvannya perekhresny shkіrny valve It is shown in quiet drops, if there is a need for a substitution and schooling and pediatric cells. It is good mobilization of the shkirny valve on the lower reach of the shafts to pass obliquely in the fascia bundles, so as the shkir of the finger from the lateral side is attached to the peritoneum of the tendon of the curvature and to the periosteum (div. Malu). The results of the plastic surgery carried out by an overhanging shkirny valve, in the cases we operated, were seen in terms of functionality, as well as cosmetics. This is the way of testimony in all types of substitution of children and children, especially when there is evidence of type B fingers.

The sensitiveness of the transplanted shkiri is beyond the reach of the sensitivity of the shifted shkiri valve.

Replacing a defect with a shkiri mensh important finger. The stagnation of this method is allowed only for the duration of the renewal of this finger. At any time, when a defect is immediately apparent, a finger is torn, the only thing left to be seen is that it is deprived of a defect, since the surplus of a finger of such a finger with a skeleton can become victorious.

Perekhresny shk_rny klapot from the front it is taken when deciding the fingers one hour at a time. Such an adjunct clap is not only for replacing a defect in the tip of the fingers, ale, for example, if there is a defect in the skin over the sinew of the tendon.

Shkіrny klapot on nіzhtsі, Taking from the abdomen, with an extraordinary method for plastics, it is reluctant to get stuck. Yogo short descriptions Ertsi.

Plastic with a stem valve on one nіzhtsі in our literature was first described by Koshem in 1952. Vaughn will be stuck with the head rank when the great and promising fingers are naked.

When outside soft fabrics on your finger on the great day and on the whole count of the finger, as a rule, on the day and mind for a new transplant. Ale, all the same, transplantation of shkiri is carried out without pediatric fatty cells, the results are discarded, as a rule, there are not enough donations. Replacing the defect by replacing the valve in such cases is uncomfortable, since there are no sufficient numbers of shkiri in the circumference. In such a rank, there are two possibilities: a shortened finger or a zasosuvannya valve on the bottom. The speed of the thumb is not recommended, even if you have a lot of fingers, it is necessary to brother before respect for the sick profession. In such cases, there is a simple valve on the nizhtsi (the shape of the bridge is abo kril) or a finger transplant under the abdomen in this hour is not happy with the vimogs. A simple shkіrny flap on the bottom does not lead to an accidental closing of the circular defect. Incompletely described by Ertsi, Zoltan and Janos. A short method of transplanting a finger to the abdomen є those who have a long time and a tricky hour and, moreover, banging the result can be achieved only by the way of repeated plastic surgeries.

in case of substitution great circular defects in soft tissues of the finger by us in chotir'h vipadki of successful zastozovaniya stalked klapot on nіzhtsі. The process of operation requires non-trivial immobilization before production.

we got it I will step on the operation technique: For the extraordinary preparation of a finger wound before the operation, the size and shape of the skin defect is indicated for an additional piece of gauze. Then a piece of gauze is put on the wall of the abdomen and the edge of it is indicated on the side of the fast prepared skin, while the side of the skin is stressed from three sides. At the later stages of the approval of the stem valve, one must follow the proponation of Ertsi and Zoltan by the method of the approval of Filatov's stem valve. It is less likely that at the edge of a defect in the abdomen, there is a three-handed dilyanka on the abdominal wall, so that the edges of the defect are completely tightened. Shkіra in the area of ​​critical delinquency, as well as the congregation of two linen seams, is not separated from small tissues with the help of saving blood. To improve the tension of the abdomen, slid zastosovuvati weaken the seam, for example, over the kistkovo udzik. Prepared by this method, the shkirna tube is completely adjoining to replace the defect of a bare finger. It is not difficult to fix the vital edge of the valve and the edge of the finger wound in quiet cases, since the edge of the defect is not correct. Below are two indications of our practice.

1. S. M., 18-ichna pratsivnytsya... The thumb of the left hand has rubbed the wheel in the cogwheel. The picture is shown on the picture. The presentation of plastic surgery (b) shkirny valve of the presentation on the 18th day. The sickness is vypisana pislya tritizhnevy perebuvannya in lykarnі. Vona started working on the robot in three months of writing. The camp of the great finger in the whole period is shown on signs in і r.

2. B. I., 36-year-old robot... The great finger of the right hand of the green blocks. In addition to the defect of the shkiri shown in Fig. a, there is a bare cyst of the distal phalanx and a part of the tendon of the zyginach, and a small fracture of the base of the nigth phalanx (b). Through a choice of plastic surgery (in) the finger is seen from the abdominal wall. Outside, the renewal of preference came at the 16th moment of injury (d).

at tsyom operations for the installation of the valve, it is necessary to take to the respect that the surroundings, given the given type of change, on the view of the original stem valve of Filatov pereadzhuvati shkira will be taken out of the blood loss from one side. To that, the valve is not guilty of changing the sub-width. In addition, the blood flow of the valve gradually changes from the side of the finger.

For an assessment of the results we have received carried out on the basis of the results, Otrimanimi інshih authors. You can say that our results will be more friendly. So, for example, on 41 sides of the monograph by Kroemer (div. List of Literature) described is identical to our first vipaddennya, renewal of which was vibrated with a valve on the bottom, we take a picture of the abdomen. The finger has appeared on the basis of the innovations and deforms, now in our style.

Described vische ways to transplant shkiri There may be no need to replace pulp and bunches, or to replace defects in many types of brushes. Plastic surgery in case of severe fractures of the phalanges and pastoral cysts is required in 25-35% of cases. Indisputably, the primary replacement of defects in shkiri is to deserve respect for the friendly results of plastic surgery by replacing shkir valves.

Deyakі women are uniqueness when they are seen to be blown up through the nearby, on їkhnya thought, fingers nіg. Om in the power to help is aesthetic surgery. The operation is to grind the fingers to vitality, to eliminate defects, and the foot is made to the principle of proportionality.

Read in tsy statty

Reasons for plastic surgery

A problem the most recent viglyad Fingers nig, є їх overwhelmed by the dinner and the inconsistency of the differences is altogether one one. Most of the time before the lykar, a girl with a "walnut" foot is wolfish. Given the particularity of the child, they can be played on the other old fingers. It’s overwhelming for everybody.

I want the feet - the part of the body is not very clean, the children should stop the operation for a short time for natural reasons. Є y іnshi lead the problem before the surgeon:

• unwillingness to wear swollen on high podborah, see the criterion or with high noses through physical discomfort;
• post-traumatization of the finger be-like shoes;
• congenital anomalies of phalanges, cysts, soft tissues;
• deformity of fingers (hammer-like, valgus), which is due to other reasons.

Apparatuses and fiksatori for fingers nig

To correct actions of shortcomings, it is not necessary to operate immediately. Varto pislya consultations with likarev viprobuvati conservative methods, Tobto wear special pristosuvan. The stench to go out with schlichnosti until the formation of hallux valgus and on її cob stage... A little bit of a sign - to save the foot from injuries during the main period of the operation.

Fiksatori paltsiv nig	Short description	Photo
silikonov fiksatori	It folds from the jumper between the great and the other fingers, as well as the first from the last side.
sharnirnі attachment	Fix all the feet in the correct position, flanking the ruff. The aparaty is indicated for the wear of the operation.
zhorstki fiksatori	They have a solid frame, so they firmly encircle the shifting of fingers. You can vikoristovuvati write operations on any of them.

For some people, it is not necessary to call, but to have an internal attachment - titanium guinty, biodegradable materials. It is very practical to use a thumbscrew during a thumb operation.

Yak plastic surgery

The operation in a large number of vypadkіv to curb under muscle anesthesia. It is possible that vicoristan and general anesthesia or epidural anesthesia can be used on a scale. There are a few ways to do it:

• Osteotomy of the mold brush. Її rosіkayut, having trimmed access through the rozrіz on the shkіrі, then see a part of the fabric. Sewing the wound with the help of the gwent.
• Osteotomy of the phalanx. In the given vipadku, shorten only qiu dilyanka.
• An operation has been received. With nіy, the metatarsal bone and phalanx of the finger are corroded.
• Arthrodesis of the midphalangeal joint. It’s not just the capsule, but the tendon, the soft tissue. Inodi arthrodesis is required to pull from the osteotomy phalanx.

About those, like an operation is carried out to change the size of the other toe, marvel at this video:

Features of the great finger correction

Nayskladnіshe involved, as a rule, the check is quiet, who has developed valgus deformity. For the very reason to be brought to the operation of the thumb:

• rozrіz rocking at yogi asleep from the side of the child;
• the slope is cleaned out of the lateral build-up;
• you can see a wedge-shaped section of the middle phalanx;
• shifted in the normal position of the warehouses are fixed with gwent.

Result before and after

The effect of the operation can be seen immediately, I want to put a bandage on my foot. The messages are as follows:

• fingers swell the correct shape, eliminate defects;
• the stench may vіrne roztashuvannya vіdnіsly one one, not vіdhilyayutsya to the sides;
• the world of renewal is turning ruggedness;
• dovzhina changes by 1.5 - 2 cm.

Fast hand and foot cysts, including Phalanges of fingers - a type of post-traumatic pathology. Deformation of wiklikє among people, who are almost uncomfortable, more views, Obmezhennya rukhіv snuggled slopes, discomfort. podovzhenya short cards hands and feet, including the phalanges of the fingers, are foldable, vimage serous approach and suvorogo control.

At the Volgograd Orthopedic Center, the treatment of patients due to a defect is carried out with the help of transosseous osteosynthesis following Ilyzarov's advanced technique. The step of raising the short hand and foot, including the phalanges of the fingers, behind the addition of special distraction designs, there are a number of obvious changes. Ilyzarov's methodology is based on great efficiency, and on the other hand:

• practical for all types of general deformations
• in a wide category
• in cases of cicatricial deformities of soft tissues

Lіkuvannya patsієntіv in VTsORKh is carried out according to the offensive scheme:

• diagnostics
• development of an individual operation plan
• preparation of the patient before surgery
• overlay and registration for the auxiliary device of Ilyzarov
• the step of subdivision (distraction) of the chain by the dosed adjustment of the configuration of the apparatus
• rehabilitation

The period of distraction lies in the type of swelling of the cysts, the average value is from 14 to 32 days. The submission of the loan is approximately 28-54 days. As a result of the operation, the molds of the cysts increase by 24 (± 5 mm), the phalanges of the fingers - by 7 (± 2 mm).

Raising the short hand and foot, including the phalanges of the fingers, according to the well-developed methodology of Ilyzarova maє nasty plus:

• show little trauma
• thrashing blood
• Yes, there is a possibility of a clear display and change of key elements
• I will preserve the overhead and the hardness of the fixation of the fragments
• LOW OPTIMAL LICENSE TERMS AND REABILITATIONS

Operations on raising the stocks, which are carried out by the faculty of the All-Union Central Organization of Regional Organizations, show good results. For the additional high professionalism of physicians, an advanced technical base and new boxes, the patients are developing anatomical and functional capacities of the stocks and thickening, increasing cleverly show vidhilen, turn ruggedness. All the same I will make healthy people, allowing them to lead a new way of life, instilling a feeling of greatness.

Valgus deformity of the great toe is inappropriate and the problem is broadened. Given pathology characterized by extensions knitted fabric near the corner of the beel of the base of the thumb. Most often it is possible to set up through a tricky stress, for example, when walking on high pedestals, through an incorrectly chosen one, or to end up with a high school, and also because of the anatomical peculiarities of the bones on the legs.

to describe

In the main, valgus deformity of the thumb is seen in women. If you want people and children as well, you will get sick until you get sick. Often, on the very cob, the bumps on the great toe are painless and do not cause any particular discomfort, except for a cosmetic defect. Along with an hour, the problem will be progress, there will be more problems and problems. In the end bag, the fingers can move one on one, the foot deform, and the self-sufficiency becomes ill-humored. In this kind of situation, you get to go to the operation on the hand of the great toe.

To deliver a great number of people call a vipira a bump. There is no ale niyakogo outgrowth or illumination in this vypadku. A lump or a brush is a central part of the head of the first mold brush of the foot. You will see a normal position due to a deterioration in the balance of the foot complex. In addition to the bruising of the brush, the symptoms are more likely to occur, such as:

• bіl і the crease of the corner of the thumb, how to do it with the grip of the nose;
• pochervoninnya shkiri, natirannya, approving calluses for rakhunok wrong position of fingers;
• firing the shkіri in the misses of the post-mechanical injection;
• zm_na zagalnoy form of the foot.

Viciousness and extension of the finger of a small step. In some cases, deformations develop rapidly, in some pathologies progressing through a stretch of rock. The more severe the severity of the illness, the more foldable surgical operation.

cause

exact reasons viniknennya vipiraє kistochki great fingers unavailable. Ale іsnuyut deyakі factors, scho pour on the diagnosis of this pathology:

1. Genetics. Nearly 68% of the deformations are transmitted in recessions.
2. It’s disgusting, it’s not handy, it’s not bloated. For example, a high sock or a high pidbori.
3. Vrodzhena pathology. Bristles on the legs can appear through the specialties Anatomical Budovi feet.
4. Obesity. In some people, the overwhelming vaga should be repaired overwhelmed by the vice on the foot, causing deformation.
5. Way of life. For example, a seated robot. Abo, navpaki, professional performance, tied with permanent navanazhennya on the legs. Zokrema, ballroom dancing or being busy with sports.
6. Arthritis. Rheumatoid, psoriatic or gout.
7. Інші. There is a weakness of loam, overwhelming numbness, low muscular tone, cerebral palsy and anxiety.

lykuvannya

There are many methods for the correction of hallux valgus. At the cob stage, conservative methods of treatment are stagnant. In the event of a positive dynamic, an operation is carried out with a visual brush on the thumb.

non-operation lykuvannya

Valgus deformity is characterized by the appearance of the mold brush and the great toe. The development of methods of non-surgical treatment is directed towards the reduction of sickly symptoms and reduction of discomfort and deformities. However, such manipulation will not lead to a renewed vigor. I’ll be ready to go to death. In the end bag all one thing is known for the operation.

The method of non-surgical treatment is based on storage such efforts:

• Disease and anti-inflammatory drugs;
• orthopedic fittings;
• specific swelling with dodatkovy width and glybin;
• physiotherapy;
• special silikonov pillows and tires.

surgery

By one method, it is possible to correct the hallux valgus of the foot, an operation from the visualization of the brush on the great toe. Before the hour of the procedure, the joint is corrected, and the finger is rotated in a normal position.

meteyu surgical engagementє reduction of pain, improvement of feet and improvement of quality of life. The operation on the hand of the great toe should not be performed only for cosmetic reasons. It’s up to no vdajutsya at vipadkah, if antiapalny drugs, wear of orthopedic swelling and ustilok, as well as other methods of addiction not to bring good results. Viconuvano type surgical operations to lay down in the form of severe deformation, the patient's wake, the health-improving state, the level of activity, I will become a short-cut with good fabrics.

laser surgery

Besides surgical involvement, correction of hallux valgus is possible with the help of a laser. The insane plus of this type of treatment is those who need to check the police and the police are on the go. The patient can be oversaturated independently in a special vzuttya already on the coming day of the operation.

Laser surgery is carried out in a few stages. With small victories for the help of viprominuvannya, it is possible to burn a copy of the tissue on the thumb. In important cases, for the described manipulation, a visualization of a single corner and the installation of a prosthesis is carried out.

The operation on the hand of the great toe with a laser is just one hundred percent. Tse to reach the top of the party. In addition, the procedure is carried out only in special medical centers, No quotas have been transferred to the laser treatment. For comfort, modern possession, efficiency of the operation and efficiency of rehabilitation, you will have to pay to complete a significant sum.

showing

How about for the help of the operation, joke around with a brush on a nozzle? Hirurgic necropsy is susceptible to be recognized in diseases, if the deformity of the disease is severe ill-feeling, And інші methods of treatment do not help. As a memory, the operation is not є cosmetic and is not intended for the polishing of the eye of the foot.

Shown to the visible brush on the great toe є:

• ailments in the area of ​​the great toe or at all feet;
• obmezhennya decay;
• bulge;
• pochervoninnya;
• vikrivlennya and vidhilennya in bik іnshikh fingers;
• the shape of the foot.

Preparation before surgery

Hirurgical involvement may be recommended, if these methods of treatment become ineffective, especially in important cases. When the decision is taken about the operation on the hand of the great toe, the fahivets is guilty of evaluating the following factors:

• vik patient;
• a history of ailments and a healthy camp;
• level of activity and way of living;
• severity of symptoms.

In addition to the collection of re-insured information, the patient is assigned a thoroughness. New can be included:

• X-ray of feet for assessment of severity of deformation;
• Magnetic resonance tomography;
• back-to-back analyzes blood and slaughter;
• shelter for tsukor;
• obeshennya on VIL and hepatitis;
• electrocardiogram;
• fluorography;
• Ultrasound of the veins of the lower edges.

Also, before carrying out the operation, it is necessary to review the consultation of an anesthesiologist, cardiologist, therapist and orthopedist.

Types of surgical treatment

There are many ways to see the brush on the great toe. Vibrating type of surgical engagement to lie at the stage of deformation of the cysts and the release of fingers. It is also possible to win over the years and countries of the snow.

For the correction and fixing of deformed mold brushes in the correct position, surgical gwint, darts and pins. Due to the nature of the stench procedure, there may be a lot of stench over and over again.

The operation on the hand of the great toe can be performed gallant anesthesia, So and for the additional help of muscle anesthesia. Order s great finger To process one or more development for the visualization of the copy of the fabric and carrying out the further necessary manipulations.

For operative treatment, it is necessary to wear a bandage, and wipe the molds in the correct position until the moment the stench grows. Also obov'yazkovo vikoristannya special orthopedic swelling.

Below, an examination of the operations was carried out with a visual brush on the nose.

osteotomy

Osteotomy is the most widespread type of surgery to correct the valgus deformity of the foot. After an hour of surgery, I saw a part of the cyst tissue, as well as the shape of the brush in the middle of the thumb. For an additional cycle of manipulation, the corner of the toe is moved back to its natural position, which can include the visible parts of the fabric.

Reconstruction of distal soft tissues

The distal overbudding of soft fabrics can be made of vicoristan for the correction of easy deformation. The whole type of surgical engagement of straightening to correct pathology due to the addition of such procedures, such as vivid tendon and capsule extension. Manipulation is necessary for the establishment of the correct shaping of the foot and the corner of the great toe, as well as for achieving a cosmetic effect. perebudova distal Many fabrics can be carried out independently, if you want to call in to work at once from the osteotomy.

arthrodesis

The whole kind of surgical engagement is carried out in cases of severe deformity or ruinous knuckle of the thumb. Tse can be tasted new forms arthritis. With such a pathology, the increase in the rate of reduction does not seem to be possible. The operation is directed to the stem of a more unkempt slope. You have to reach for the rakhunok of seeing all the cartilages of the hillock and two or more cartilages at once for additional grafts or metal pins.

endoprosthetics

How to undergo an operation with a brush on your finger? Endoprosthetics includes the visualization of the ear cyst tissue at the base of the thumb. When the pseudo-angle of the endoprosthesis is installed, a pseudo-angle is opened. With such a rank, for an additional implant, it is possible to replace the whole corner or only this part. In the world of zagoєnnya, the cyst is made up of cicatricial tissue.

rehabilitation

Skin patient individual. update from young people pass in a smart way. Someone has a long period of borrowing a lot of money, and I will return to normal only after a few months. All in all, reabilitation of seeing a brush on the thumb, letting the loan go from three to chotiroh months.

During the operative hour, the leg and brush will be swollen. To reduce the swelling, it is necessary to trim the swelling in the raised position. You can also attach an ice bag. In a long period of time, the patient cannot wear normally, he walks and yaks. For the change, the police are familiar. Step when walking is necessary on the p'yata. Persh nіzh turn to the usual way of life, the patient is guilty of walking in a special bandage, so that the leg and wrist are in the correct position. The price is necessary for the replacement of cystic prostheses from the general public, and the lobes and the cysts - from the prostheses. It is also recommended to wear a special orthopedic swelling for the prevention of recurrence of valgus deformity of the foot.

When pain appears, the patient can take illnesses that are indicated by the drug. Slide means that aspirin or deyakі znotoluyuchі leki can lead to increased risk of bleeding. Likewise, a drug can indicate the use of antibiotics, which will prevent the appearance of infections due to surgical involvement.

For the operation, it is important to trim a clean and dry finish. Before you know the shvi, it is necessary to uniquely wet your feet. After an hour of taking water procedures, you should put on a polyethylene package or tighten your leg into a swim.

During the rehabilitation of the patient, there may be signs of physiotherapy and special lіkuvalnі right... The procedure is to help to increase the force and the range of the hand of the foot prompt engagement.

The patient needs to start the proponation mode. With the appearance of such symptoms, it is necessary to turn to medical pledge:

• temperature adjustment of 38 degrees;
• pochervoninnya, strong swelling, bleeding in the muscle growth;
• strong beat about rozrizu;
• an embankment in the area of ​​urazhenoi foot.

Folding operations

Carrying out a surgical treatment in the first place Riznymi Riziki... The operation on the hand of the great toe can be seen as follows:

• infection;
• thrombosis of glibular veins (impaired laryngeal blood);
• skutism in the folds of the fingers;
• trivial growth і prognosis, as well as growth in the wrong position;
• ailments;
• the end of the nerves;
• great swelling;
• the need for a small surgical treatment;
• approval of scar tissue and keloidiv;
• repeated relapse (bristle formation, deformity of the finger or of all feet);
• complex regional pain syndrome - a camp, like a vicious trivial (chronic) baking bile in one of the pictures.

With the appearance of alimentary symptoms and an acceleration in the time of operative involvement, it is necessary to return to the surgery. Specialists can be glad to see them, as they are struggling, including other options.

price solution

The part of the operation on the hand of the great toe varies in debris, depending on the type of necessary surgical intervention. The development of arthrodesis of one slope is close to fifty inadequate incomes of the community. With strong poses, the price goes up.

The part of the osteotomy of the mold brush is repaired from forty-seven unsupported minimum incomes of the community. Distal reconstruction of soft fabrics - from forty-nine non-refundable minimum incomes of the community. The price is to be sure to lay down without the need for the necessary manipulations and the hardness of the patient.

Endoprosthetics of foot slopes є by foot surgery. Її partiality - close to ninety thousand rubles. The price of a prosthesis can also become approximately ninety thousand rubles.

In the main price on the operation of the brush on the great toe to reach the temple. All pererahovani vische surgical procedures can be carried out without a credit card according to the policy of the compulsory medical insurance, if the quota is evident. For all, it is necessary to see a traumatologist, to correct the necessary direct and to go through a routine.