The operation on the hand of the great toe is especially the case when it is shown. Plastic surgery of fingers and fingers Special features of the great finger correction

Shortening of fingers is not the same kind of 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 carried out, first and foremost.

Shho also shortening fingers nig

Shortening fingers nig is a procedure, if you have a chance to use it, I will use it for more or less, for an abnormal budget of 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 another finger appears on the other ones, an ale defect can manifest itself on both susceptible ones, or even on the little ones.

For natural reasons, you can also be vicious through:

• Wickedness to wear swollen on 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 vicorists, be it from the pro-proponated methods. To build up a swelling 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 swollen flatfoot of the transverse type);
• Arthrodesis of the interphalangeal proximal hinge in case of 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 factori, 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 robots heart-vascular system(incl.,);
• 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, articulated 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 paciєntіv weighed її with a trip to the dentist, so as, with a patient, they get lost in witness and everything is necessary to rob the car. Bil at all does not see. 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, as well as an excess. 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 are covered with antiseptics until the age of the shvi after 10-15 days and until the surface of the wound is completely burned out.
• 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 an unclear operation. 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 zovnishniy viglyad fingers.

Assessment of methods of plastic surgery, Scho zastosovovatsya when vratі the tip of the finger, to be guided lower.

Shkirny klapot Tirsha from a decrease in the level of resistance to epidermis, the disease does not become stagnant. Reverden's method gives good results when a finger tip defect is replaced, however, if defects are evident, it can reach the cysts, affecting the visibility of the fat cells and the results of such plastic surgery are not satisfactory. This is a way of stagnating only when surface defects are present. Reversions to the Reverden method 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 zasosovyovat this shkirny valve Tirsha, so that you can take revenge in your and papillae shkiri. In a shortage of ways, those who often do not get accustomed to an unrevealed surgeon often don’t take root, and since the transplantation of a skin is not enough for a fat pad, it cannot be stuck in order to replace the 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 at once with them, and just right by them, by the Ugorsk presenter of Ketteshs. In Ugorshchyna, the method of enrollment 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 not in the substitution of the defect of the 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 skin of the hand at the view of the displaced or pedunculated valve. Zrozuilo, wow, the wisp of the brush, looming especially Budova, overturning the qualities of being the only one, being the great of the heart and superbly sensitive. Density of sensitive nerve endings during the period of general renewal of sensitive functions by stretching out decal messages.

also shydko 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). With plastic surgery 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 vidozmіnoy method of attacking amputee kuksi according to Zamter. In Denmark, there are many ways in which surgery is made, 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 is able to get stuck with success.

Plastic on Trankiyі - Lіlі- according to the notice of Kosha - if there are any defects in the school, you will receive an indication of the results. On the volar surface of the finger, there is a tricot pinned clap, the top of which grows down to the brush. Instead of being able to resist up the hill, and before you hang out over the bed, or by the very nigtem. Tsey method in case of a great defect in the pulp of the finger gives less 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 shk_rnimy valve on the n_zhts_, We take from a small number of hands, for example, from the distant dalyanoks, Izelen and Bunnell will become 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, it can be rocked out in any direction, just after the sparing of the child's fingers.

Cross-palatsovy klapot There is no problem for the replacement of defects not only for the tip of the great and small fingers, but for 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 shkira 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 as both from the point of view of function, 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. Yoogo short descriptions Ertsi.

Plastic with a stem valve on one bottom 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 not many skins 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 trickle for an hour and, moreover, banging a fingernail result can be reached only by a path of repeated plastic surgery.

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

we got it I will step on the operation technique: For an 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. The reason for this is that, at the edge of a defect in the abdomen, there is a three-handed shkiri on the edge of the abdomen, 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 bone 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. Submitting the performance of plastic surgery (b) small closure of the performance 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 there is 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 from the original stalk 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 the pulp and bunches, but also to replace the defects in the brush. Plastic surgery in case of severe fractures of the phalanges and pastoral cysts is required in 25-35% of cases. Indifferently, the primary replacement of defects in shkiri is to deserve respect for the friendly results of plastic surgery by replacing shkir valves.

Conservative treatment of the wider pathology is effective only on cob stage ailing, if the thumb is insignificantly (up to 15 degrees) looking to the side, most of them are not seen, and the bump itself looks like a small hump.

When there are brushes on the nose, the malignancy is allowed to correct the deformity by conservative methods

It is a pity that not all people are respected on the wrinkle of the foot before they show painful symptoms, and the patient is caught up with the signs of suspicion, when the situation has been started and only when the bumps are seen on the great toe, it is possible to correct the problem of pathology. ale і renewal of the foot adjustment).

See the surgical treatment of the brush on the nose

The operation from the visualization of the brush on the nose is carried out for additional diagnostics, as it allows accurately assessing the steps of deformity, detecting specific pathologies and becoming ill.
On the vibration of the operational method (close to 100 new methods), inject:

• type of deformation;
• mill of stocks and soft fabrics of a particular patient;
• the manifestation of somatic ailments.

Oscillations for the visualization of brushing on the legs in the Danish hour to stay in a large variety of low-traumatic methods and occasional anesthetics, because the patient does not pour on the vibration of the method surgical engagement.

You can get it:

• Osteotomy, as it stagnates in a large number of vipadkiv yak naybilsh effective method... With any kind of osteotomy, for an hour of operation over a deformed corner, the tissue should be tinted, the bristle will overflow (transversely closer to now, or in a Z-shaped manner, if the main phalanx is attached), fragments should be inserted into the correct
• Arthrodesis. The whole kind of surgical involvement is carried out in even more difficult cases, the main meta of the operation is the root of the unstable work, as it does not allow me to increase the renewal of the foot. Shown up to the given type of operation є strongly sharpening the corner of the thumb, which is unwise to turn in the correct position behind the auxiliary osteotomy. The metatarsophalangeal angle is seen in the process of the operation, and the bristles are seen between themselves. shortly given methodє vinikayuchi pislya navantazhennya more views in the center of growth, as well as the need to constantly wear orthopedic swelling.
• Resection arthroplasty, when a part of the flattened surface is seen. When there are a lot of parts of the brush, it’s empty, and in the process of ignition it’s stored in the fabric (this is the order to form a pompous slope). The operation is not given again.
• Correction of the transverse arch of the foot. With this type of surgical involvement, it is NOT a corner and a brush, but a soft tissue near the problem zone. During the operation from the great toe on the 1st mold, the tendon of the great toe is replaced, the joint stops pressing the great toe in the open position, the cut between the small balls of the foot changes, and the shape of the foot changes. The method is effective for early stages getting sick.
• Exostectomy, when there is a bit of the lump itself (part of the head of the mold brush), as well as the flesh of the fabric, rots around the affected slope. The course of the operation is updated, it is learned, it can be relapsed.

expanded methods

The operation on the hand of the great toe with the reattachment of the hand is most often carried out using the following method:

• Scarf-osteotomy. Vikoristovuyutsya with a pomirnіy valgus deformatsії. Allowing for the sake of later life and turning a part of the head of the moldy brush, podovzhuvati or short-circuiting the first of the moldy brush, taking fragments of the cysts, so that it allows you to reach a greater proportion of the strength internal part stop. Good results and the technique is given in the form of correction of soft fabrics.
• Osteotomy Austin / Chevron, during which a V-shaped repetition of the first mold brush is carried out. It stagnates in times of insignificant valgus deformity, allowing the head of the mold brush to be changed by 1/2 of the width (if the brush is larger by 1/2 of the width of the brush, it is necessary for the cyst growth to have stability but stability).
• Osteotomy Akin, which is carried out on the main phalanx (at the level of the proximal side of the adjacent part of the tubular cyst). Supravodzhuyutsya obovyazkovyu manual correction of hallux valgus. The bone melts in parallel to the metatarsophalangeal crease and the nigty bed of the great toe, a wedge-shaped fragment can be seen.

Big toe surgery can also be performed:

• Following the Weil method (braid osteotomy of small mold cysts). Allowing the brush to move straight to the center and later to the right, turn the head of the mold brush to the normal position and additionally support the hammer-like deformation of the fingers.
• Following the Shede-Brandes method (edge ​​resection of the medial cyst virost (exostosis)). Before the hour of the operation, you can see a small brush on the bichniy surface of the 1st mold pad and the proximal part of the main phalanx of the great toe, apply the physical foot in the singing position of the gipsov longuette, and pull the long stretch of the 2nd finger

A good cosmetic result is given by the operation with the visible brushes on the legs according to the Vreden-Mayo method (a glance at the visible head of the 1st mold ball at once with a lump), however, through the removal of the main support platform of the foot when walking during the operation of the foot operation.

Visibility of the bristle on the great toe using the Chalkin method (overturning the bristle with the turn of the head of the 1st mold pad) and the trapezoidal wedge-like resection of the 1st mold pad following the Bohm method This is often supravodzhuyutsya relapses.

The patient can be propped up for a reconstructive operation, it is corrected for the correction of decile components in the deformity of the foot:

• Method of Kramarenko and Boyarsky, when carrying out a surgical procedure according to the Shede-Brandes method for the reduction of the medical appearance of the 1st mold cyst distal to the metatarsal lobe, the transverse osteovascularization is performed, From the lavsan line, a transverse link of the foot is formed, I will put the 1st mold in the correct position (the line will go to the edges of the capsules of the 1st and 5th metatarsophalangeal slopes). For operation on the foot for 4-5 lengths, apply a bandage.
• The operation of Korzh and Yremenko, when the brush does not change, as the defect is absorbed by the way of seeing the 1st metatarsal connection. The transverse ligament of the foot is formed from the tendon of the long extension of the 4th toe.
• The operation according to the methodology of CITO, which supervises the formation of the transverse ligament of the foot from the lavsan line at the viglyadi visimka according to Klimov.

If necessary, endoprosthetics are carried out, with any deformations, the joint is more often seen and replaced by a piece.

Yak carried out a brush on the nose

Earlier, the operation from the visible brush on the great toe was traumatic (the bump was widened, the joint was closed with staples and pins), which was unremarkable, and the reabilitation period was trivial. In connection with the incompleteness of the earlier techniques, the advice about the operation with the vision of the small bones on the legs was rather negative, the severe injuries of the injuries in the patients with the three

In this hour, you can see the brush on your feet with minimal traumatism for additional help:

• Minimally invasive techniques, in case of sharp growths I do not change 3 mm (in case of deformation values ​​- 10 mm). Hіrurgіchnі manіpulyatsії (overturning of the list and change of parts) work through the whole low rise for control of X-ray diffraction. Before reversal of a minimally invasive osteotomy, there is a short period of rehabilitation and even more uncomfortable cicatrices, more symptoms and an accelerated reduction. The minimally invasive surgery does not undergo zagalny anesthesia.
• Laser, as if you were allowed to see kistkovu fabric nighty balls, zberigayuchi in such a rank the rupture of the slopes. The period of rehabilitation is shorter, less when the traditional set for prompt engagement(Sverdlo, knitting needle, vikrutka, clamp). The laser visualization of the brush on the legs is observed during the daytime in the patient with deformities of the foot and accelerated valgus deformity.

Access during operations can be:

• vidkrytim (tissues are distributed to the brush for an additional scalpel, visual inspection control of the process of correction);
• zakryit (manipulation to get through low growth, control to get on with the help of X-rays).

Visible brushing on the legs with a laser - the process of shrinking the bumps on the nose until the bumps on the bumpy surface of the foot are smoothed out, as it goes through a small incision. To see the brush behind the help of the laser, you can use the following services:

• exostectomy;
• osteotomy;
• resection Arthroplasty.

Before perevag laser vision valgus deformity to carry:

• zenzarazhennya wounds under the injection of a laser, scho to raise the infected rhizik to the minimum;
• minimal loss of blood of the plant of insignificant size of growth, through which manipulation is carried out;
• the visibility of the inflow on the navkolishn_ fabrics;
• update shvidke;
• short term of the operation (borrowing 1 year, at that hour you see the traditional surgical methods loan is close to 2 years);
• the need for surgery to carry the gypsum.

Vidalennya brushes on the nose, with any method, are stored from decilkoh stages. Most often in the process of operations:

1. on internal parties phalanges of the great toe
2. Conducted capsulotomy (the size of the capsule of the first metatarsophalangeal joint).
3. Visible visceral cyst virost (visible cones).
4. Perepilyuvati persha bristle mold (osteotomy is performed).
5. Hirurg moving fragments of the mold brush, changing the deformed mold.
6. The bone is fixed with titanium screws or braces.
7. The capsule and roses are sewn up.
8. A sterile bandage is applied to the access point.
9. A physical bandage should be applied to the foot (depending on the type of operation).

Titanium gvinti does not see discomfort when outside.

Prototype

If you want a surgery on a nose from a visible brush, be sure to be carried out due to low-traumatic techniques, there are a number of indications before it is carried out. The operation is recommended for:

• thrombosis, which leads to inflammation of the veins and damage to the larynx of blood;
• red diabetes, obesity;
• cardiovascular insufficiency;
• damage to the blood circulation of the tissue of the foot;
• pathologies of the musculoskeletal apparatus.

The visualization of the brush on the nose with a laser is practically not a proof, however, before the procedure, it is necessary to preoperate it.

Preparation before surgery

Before you can see the bristles on your feet, you need to undergo a retinal diagnosis, so that all pathologies of the foot can be detected - radiography of the foot from the other side or magnetic resonance imaging.

Big toe surgery may include hammer-like deformity of the toes, etc.

The patient, in the order of preoperative maintenance, is directed to the delivery of analyzes:

• blood (zagalny, biohimichny, for tsukor, for zgortannya);
• sech (zagalny analiz);
• for revealing hepatitis and VIL;
• fluorography.

Approximate part of the operation

Oscillations without stem surgery for the visualization of hallux valgus in state institutions In the first place, an orthopedic surgeon and ochіkuvannya in the course of a planned surgical procedure, patients often cicavit, with a quick operation according to the visible bristles on the great toe.

On the part of the operation, the qualifications of the drug, the method of carrying out, the status of the clinic (private, municipal), the possession of the drug are injected. In the middle, the price varies from 200 to 1000 dollars (in megalopolises there are operating costs, not in regions).

Oscillations for the participation of surgical invitations to the infusion of free factors (including payment for anesthesia, etc.), it is necessary to call the clinic to clarify the information. Before you see a brush on your great toe, you should consult with a surgeon in another clinic about the possible options for the operation.

Part of the visualization of the brush on the great toe with a laser, but not in the case of victorious surgical methods.

rehabilitation

triviality rehabilitation period deposit in:

• some of the old fabrics;
• method of operations.

Would you like to fall into period of operation foot fixation required. As soon as the patient saw only a part of the mold brush, the operation was carried out without a laser, the foot was fixed at 4 times, with a visible slope, the period increased to 10 times.

Reabilitation of a minimally invasive or laser operation takes less than an hour and, judging from the results, it was rather smooth.

Putting on the foot during the operation period is interconnected, walking and allowed in the middle through the day (the grip on the operated foot is interconnected during the whole period). Walking is allowed after consultation with a doctor (in the middle through a month). With Scarf-osteotomy, it is allowed to put on the foot in a special orthosis immediately after the operation.

The patient is recognized:

• complex therapy (antibacterial, antiapharyngeal and antibiotic drugs);
• likuvalno-fizkulturniy complex, like a likar pidbiraє in an individual order;
• wearing myako wide swelling with a special orthopedic swelling with a special supporter;
• wearing orthopedic fittings.

Exercise therapy in the period of the operative period is designated as a matter of fact, albeit the term, the cob of it being carried out according to the method of the operation:

• During the operation of Shede-Brandes educational gymnastics carried out from the 4th, 5th day of the operation. It is recommended for the patient to wear the insert permanently, so that the 1st finger is pressed in the correct position.
• During the victorian operation of Kramarenko and the Boyarsky exercise therapy, they repair the conduction for the 1st toe on the 5th day. For the sake of a fixed grip bandage, the anterior part of the foot is fixed with a gum cuff, as a transverse star is added.
• With the vicious methodology of the CITO, the hypothesis immobilization of the test is 1-1.5 months. Exercise therapy is being repaired from the 4th, 5th day of the operation.

Right in the period of operation, they are similar to the right, which can become stagnant for preventing hallux valgus.

Judge from vіdgukіv paciєntivіv, seelіnіa brushes on the legs from victorіstanny modern methods The surgical deformation does not turn around, but the acceleration of the deformation takes place in the edge. For the children it is significant to have the quality of life, to know more and to have the ability to wear it by hand.

Healthy hands, fingers - the whole freedom, the ability to engage physical practice and a lot of pluses. Not less than the meaning of my name is not less important, and you should always keep your hands in plain sight. To that, in case of congenital defects, ailments and injuries, the renewal of the hands is not only directed to the rotation of the functions, but also to the aesthetics.

Read in the tsy statty

Options for plastic surgery of the finger of the hand

In a different way, the renewal of the finger will be restored, due to the nature of the injuries, the scale of the ear tissue, the peculiarities of the defect. Possibilities of zrobiti tse k_lka.

Replantation behind the help of a metal rod

The engraftment of the finger phalanx as a result of injuries should be carried over to children. At the same time, there are more chances for success, and for older adults, such an operation will never end in failure, in the case of an amputated and attached segment.

For the victorian method, at the moment of injuries, it is guilty to pass no more than 20 years... The whole hour of amputation of the dilyanka was taken in the cold.

In the course of operations gallant anesthesia wedge knots with a metal fixator, add a new bed by stitching fabric

V-Y valve renewal

In older adults, with a broken part of the finger, replantation may be uncomfortable. The amputated fabrics are replaced by those taken from the other dies of the brush. Vikroyuvannya klaptyv, which may look like the letter V, seen from the promenade and the literal sides of the phalanx. Having risen, they move to the zone of clothing and fix with seams. Method of indications for transverse and long-oblique lines of injuries. The seam is written for the operation of the letter Y.

Plastic valve Kutler

Iakshko pozhkogennya has overshadowed the asymmetric or braid line, more before being renewed by the sub-valve. Tse Cutler's method. The fabrics leave the side of the injured phalanx from the side of the traumatized phalanx, which will save the life. Shmatki change so that you will close the pocketed dylyanki, fix it with seams.

Stagnation of the homodigital valve

When there is a significant number of soft tissues, as well as hollow, oblique amputation of the tip of the phalanx, there is a homogeneous clap. Yogo vіdokremlyuyut from the same finger, win man larger size, Nіzh in the forefront. The graft can be taken from the suspect.

The wound, which was established by the appearance of the homodigital valve, is closed with tissue from the right side of the hand. If blood circulation is normal in the renewed finger, an excess of tissue is not seen.

Cross plastic

Also, in case of trauma to the pulp of the finger, the vicorisation of the perechial valve from the large part of the ground. Їm close the defect. Klapot also zalishayut life nіzhka. And the donor wound is fixed with a shkinny one, which includes all types of fabrics.

Plastic with tenar valve

With the victorious tenary valve, it replaces the fabrics and removes them from the thumb. Push the injuries to the bottom, the valve assimilates the defect. Now it will be necessary to finish the implantation. If you want to live the dilyanka, you can use a scalpel, and the donor wound is sewn up.

Update by an epic valve

The method is necessary for the improvement of the upper phalanx, if it is very strong. Yogo vikoristovuyt і during a tricky hour with injuries. Klaptik vikroyuyut from eponychia (fabric, rostashovanoy lower than the nail plate). The fault is due to the size of 7 - 9 mm and P-shaped. Move the far part of the valve closer and fix it to the edge of the opening. As a result, the Persian part of the country has grown, apparently, it is visually podovzhutsya.

Yak lykary to help with the dissection of the tendon

When the tendon of the finger is shrunken є 2 options are available:

• conservatively... Polyaga in the attachment of a fixed attachment, yak to wear 6 types. Injuries to the finger should be brought into position, as if the brush was trimmed. Ale gipsova langeta dopomagaє do not expect.
• Hirurgic. In the course of the operation, they develop the skin, expose the tendons and repair the joints. You can replace it with a transplant. During the operation, the brush and beforehand are immobilized for 3 times. Then there is the need for exercise therapy and physiotherapy.

About those, how to carry out the operation at the opening of both zginachiv 2 fingers on the level 2B zone, marvel at the whole video:

Problems with the hands can be affected not only by injuries, but by anomalies and pathologies. The skin develops surgical assistance:

• podil grown fingers with syndactyly, with transplanting shkiri or without it;
• development of visualization of the second segments during polydactyly (six-fingered);
• vityaguvannya short fingers;
• the result of chronic tension in the nerves of the hand;
• relieving from contractures, how to make a rude and a normal body in peace;
• transplantation when the finger is open (re-attach from the feet);
• Usunennya deformities, vicious degeneration of slopes, pathological tissues seen by way of advance;
• transplantation of scars for reduction of scarring.

Contour plastic of hands

One of the patients of the turbine is not interchangeable with the original hands, but only the callous viglyad. From the problems of tsya maє nilegshe rіshennya - vikonannya contour plastics... Method of transferring drugs into the school hyaluronic acid... Specialist to rob the іn'єktsії, vporskuchi fіller іvnomіrno on all areas of the wrists - from the last side to the fingers.

During the procedure of the tendon and veins, they stop growing vipyratically, the hands do not look dry and dry. Їх the surface becomes smooth, there are signs and symptoms of hyperpigmentation. The method of stagnation and for the preservation of oblique aging of the brushes. The effect takes up to 8 - 12 months. Because of the introduction of the drug, it will dry out, and a new procedure is required.

The brushes were pricked by the "visitor card" of the people: they started their way, prophesied their share. The infection of a part of the body is not so primitive, rather than the methods of preserving the health and beauty of the hands, the fingers are bigger. Also, there are problems, the need for obov'yazkovo speedy in a different way of plastics.

Corisne video

About the modern method of prosthetics of fingers of the hand, to be amazed in a whole video:

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The kids have a little bit plastic surgery hands should be turned to the correct shape of the fingers, to alleviate all problems. How can I see the correction of the shape of the fingers and hands?

All materials on the site were prepared by faculty members in surgery, anatomy and professional disciplines.
All recommendations should be of an informal nature and without the advice of a doctor, do not become stagnant.

Operation on the tendons of the hand and fingers is indicated for injuries, when the tendon was damaged and the fingers collapsed. Such an effort is made to be foldable, to conceal its own specifics, to ensure correct and trivial reabilitation, as a result of which there is a possibility of a general or partial renewal of the cob volume of rucks, other motor skills, leaves.

Involvement on the tendons is often carried out, even the hands are constantly vikoristyuyutsya in the beggar and professional performance, and that is strong to the point of being childish. According to statistics, as many as a third of all hand injuries occur with tendon damage.

Whether there are injuries to the tendon of the fingers, or the hand, to the surgical correction, v vidminu vid, for example, shkodzhen shoulder slope. Surgery on the tendons of the shoulder is carried out only in especially important cases, and more patients need to complete immobilization and drug therapy.

In practical surgery, injuries are the most frequent sinus tendon, roztashovani shodo surface. The nerves of the fingers begin to get lost, and at the third stage, the ear is often the ear tendon of the tongue-rozginas, moreover, the remaining ones can grow from the fingertips to the level of the middle third of the front.

The tendon of the fingers may be the same for Budov, the visibility of the fields is less in their comrades and forms on the small rivnya, in conjunction with which the surgeons are cleverly seen five zones of injury, as far as some operations are concerned, some technical specialties are added.

Even more great folds in lіkuvannі are found in case of lesions of tendons, as they come together with injuries of the sins and nerves, especially, fractures of the phalanges of the fingers. Such injuries can cause folding plastic operations, such as the force of only highly qualified surgery, and specializing in surgical pathology of the hands.

Shown and counterindicated before surgery on the tendons of the hands

Operation on the tendons of the hand is indicated in case of any injury, for supervising damage to its integrity - a wound covered with a knife, a splinter of a slope, and in the absence of a wound, non-fouling of my fingers tissue due to fracture

An emergency is needed when lifting fingers or around the phalanges. The planned operation is carried out when:

• Synovial cysts;
• Tunnel syndrome;
• Contractual snakes of the brush;
• Injuries of the tendon of the spine or the spine of the finger were healed;
• Cicatricial deformities.

The tendon is even more flexible and latent to the collagenous and elastic fibers, and the most spilling one is the zone of transition in the cherevets of the meat, or the point of attachment to the brush. The stench cannot grow on its own, the splinters of the meaty fibers lead to a strong degradation of the land, as it is unfortunate to leave without an operation.

Clitini, who fix the tendon tissue, do not grow up to active reproduction, so the regeneration takes place for the cicatrix. If the operation will not be carried out, then even before the end of the first tension, after injuries occur between the knots of the tendon, the fluff appears from the tissue on the number of vessels, on the other - fibers, and when the end of the month - a large scar.

As a result, the tendon scar is not sufficient in the world to prevent the collapse of the function of the fingers;

The triviality of fast muscular tissue, as it does not fatigue with the sinewy tendons, leads to the atrophic changes, which after 6 years become non-collapsed, and after three months and more surgery, it will be very important to see it.

contraindicated before the operation on the tendons of the finger, for the hand, there may be a large wound from suppurations, microbial contamination of soft tissues, the important patient's camp - shock, coma, swelling, ruptured laryngeal blood. Such vipadas have surgical practices I will be able to get sick, having brought it to the moment of stabilization, I will become ill.

Preparation before surgery and methods of sun exposure

Surgery on the tendons of the hand is performed in the presence of muscle pain for in the minds of provincial anesthesia, albeit in all vipadkah it is important, that the zest of illuvannia would reach the strong and trivial, it didn’t pour into the patient’s testimony, because the surgeon was involved in the hour of the operation. Vikoristovuvani drugs are not guilty of victorious ni countries, nі mіstsevі accelerated.

In case of a planned operation, patients are sent to the clinic for an hour with the results of analyzes of blood and slaughter, coagulogram, and in the case of taking blood-thinning drugs, they were left to blame for a long time. Specific training can include exercise therapy.

Yaksho maє misce traumatic ear tissue of fingers, and the patient's camp is burned with small ears or supportive discomforts, then the operation is completed until the moment of stabilization of the robot and vital organs. Conducted anti-inflammatory therapy, replenishment of blood consumed, prevention of any infectious processes.

In case of severe microbial obstruction of the hand, antibiotics are injected until they are injected, and in some cases during the period of operation.

A preparatory step before the renovation of the tendon strength can be primary surgical treatment of the wound, It is necessary for patients with open and thin ear tissues of the hand, which are superimposed on cystic fractures, crush crush, crushing of the phalanges or a whole finger.

If an operative surgeon is not willing enough to perform surgeries on the hands, then it would be optimal to heal the wound, bleed and apply sutures in case of a serious injury. Pislya ts'go patient is guilty of the directions to the special delivery. Without the primary filament, the wound of the tendon can shrink, fix with good cloth in the wrong position, it is difficult to match the meanings of the difficult on the stage of reconstructive treatment.

For every planned surgery on the tendons of the fingers and the hand, special training is carried out:

1. Lіkuvalnaya fіzkultury eksіkh і healthy dіlyanok;
2. Paraffinovi aplikatsii on the hand or fingers;
3. Preparing school curtains in the center of transferring projects;
4. Renewal of passive fingers, if the fingers flicker to a healthy one with a plaster and go together with it;
5. In case of formed contractures, it is recommended to use gymnastics for every day, while it is important not to allow the appearance of ailments.

Technics and terms of performing operations on the tendons of the fingers

The most common types of operations on the tendons of the hand are used:

• Overlay seam;
• Tenoliz - spike development;
• Tenodesis - fixation of the tendon to the cyst;
• The change in the same bed was healed;
• Transplantation.

The operation when cutting the tendon of the hand is stored in an overlaid suture, and, moreover, it will be destroyed earlier, there is a chance for a successful rehabilitation. The correct primary surgical treatment is in the meaning of the world of additional suture application and fiber growth.

An important rule is that if a surgeon is guilty when a tendon is sutured, then I reduce the number of later growths, as I injure the brush more and without that.

The rules for applying a suture for injuries of the tendon of the zginach fingers:

1. The end of the tendon close to the wrist is seen from soft tissues through the edge of the lateral opening of the distal valley fold;
2. As far as possible, it is possible to get as little as possible from the cyst-fibrous canal of the brush;
3. For suturing, it is recommended to use thin and thin threads, to apply an additional loose suture on the edge of the torn tendon.

When treating wounds with antiseptics, surgical viroblyaє requires a number of transverse strains, to bring the tendon and sinewych to the correct rules. The suture of the tendon is to blame, but we will forgive from the point of view of surgical technology, it is not guilty to twist the tendon to suture itself, but it is not necessary to fill a gap between them, in which case a scar will grow. Vuzli zanyuyuyut in the middle of the tendon, not allowing it to razvolokneniya, and the head suture to retract internally.

see the tendon suture

There are 70 types of tendon sutures for the season, but the ideal option is not knowing, but short-cut skin-type sutures. Naybіlsh extensions so the titles are spіral, but only a little of what you can vvorі the need for a retailer visitor. Be it technical mistakes with spinal seam lead to serious acceleration and scarring.

Operation on the fingers of the hand is carried out with a bent position. When the tendon of the bumpy spines is damaged, the technique of repairing the injuries is as follows:

• When a tendon is removed in the found part of the bone, it is possible to carry out a dry fit to the distal phalanx;
• Nayskladn_sha zone - from the middle of the middle phalanx to the base of the finger, in case of tendon injuries in the central area, the insertion of intra-trunk sutures is possible, fixation of the sutures on the side of the phalanx behind the additional tips of the fingers on the surface, hanging
• Operation on the tendon of the hand is indicated when the tendon is cut from the base of the finger to the wrist, it is necessary to put stitches on the skin of the tendon stubburs, and in the gap of the gaskets, to prevent the coffin, the vicious adipose tissue abo m'yazi;
• Injury of the tendon on the wrist ligament ligament in the wrist;
• In the case of an unfortunate drop in the proximal edge of the ligament of the wrist, the surgeon gives a sharp glance at the proximity of the great judges and nerves, and it is also difficult in the correct setting of the appendages of the deciduous deciduous Surgery is applied to the inner-trunk suture on the skin of the tendon;

tendoplasty

Even if the tendon suture is applied, it does not appear to be very slick on the significant loss of the region, it is shown plastic behind the help of synthetic materials (tendoplastics) or the injured tendons.

The reduction of the tendon and the renewal of the integrity of the other structures per hour of one operation, if two-stage lykuvannya, Yake is relevant in multiple scars growing on the hand. At the first stage of surgical treatment, the canal is carefully shaped from a synthetic tube, a viscous scar and an unstable nerve. In two months, the tube replaces the graft of the tendon taken from the patient himself from the region (leg, for example).

Stagnation of microsurgical techniques will significantly reduce the result of surgery on the tendon of the finger or the hand. In the process, cicatrices are seen, plastic surgery of soft tissues is performed, or transplantation of daily components from the same dylyanoks.

With a strong adhesive process of indications tenolis- the development of full-tissue growth and the appearance of tendon bundles from them. The operation can be carried out endoscopically, which gives a good cosmetic result.

Video: surgery for the damaged tendon of the fingers of the hand

Operational period and renewal

The surgery on the tendons of the hand of the patient can be written even on the coming day, or during the microsurgical procedures of the hospital, the procedure can be carried out for 10 days. with a strong pain syndrome analgesics are used, antibiotics are used to relieve wound suppuration. You can add additional physiotherapy procedures.

Reabilitation of training on the tendons is straightened, by the head rank, for the renewal of the hand and fingers functions and the appearance of the type of operation and glycemic injuries. The first day of the day is in general calm.

If the swelling changes (in 3-4 days), it is necessary to start before active zginalny ruchas with the maximum possible amplitude. The first step is to get the most out of the way to get a gipsoo longuette, then lift your finger down and also settle down in the required way. This is similar to the rule to produce before the scars are established, the growths are ripped, and stretched.

Approximately three times finger to know the bad ruggedness, the infusion is an early period of operation. Farther, renewal is carried out with victorian espander and special simulators, with a whole lot of guilt, they are painless and accurate, so as overwhelming activity and rapidity can be used to provoke a dry applied seam.

It took 35 days to fix the stage of actively developing fingers, which is quite easy until pivrok. The entire period of time the patient is guilty of being visualized, so be it seen from the planned plan, if the lack of diligence can lead to an irreparable renewal of rudeness. Only the fastest-growing rehabilitation specialist is guilty of starting the hour of increasing the appointment and the intensity, the need for the preservation of additional visits (mustimulation) and the safety of turning to the point.

The result of the operation on the tendons should not be assessed earlier, but not through the test. Prior to the fate of the patient, he continues to actively train his fingers and hands, in the world of which the amplitude of collapses increases. An important aspect in the rehabilitation of tendon repair is a particular fate and performance of the operated, because of ease, intelligence and patience, which is to keep the effectiveness of renewal.

Reabilitation in the whole loan until decile loans, before an hour it is not possible to start until the robot, the whole loan will be paid. Apparently, the hour of turning before the start of the work begins with professional regulations, even the actions of specialties do not actively participate in the employment of one hand in the labor process. If it is necessary to display an important physical robot, using offended hands and fingers, the patient should be able to see it all, or shift the clock to your robot.