Remove bones in the legs: causes of joint deformity, indications and contraindications for the procedure, types of operations
Bone formation on the toe in medicine is characterized as a valgus deformity.
This disease for people to become a real problem, because when it progresses, it is difficult for a person to move around. Any shoe provokes acute pain and discomfort.
According to statistics, finger valgus deformity is observed in more than 40% of adults. At the same time, it is known that women are most often affected by this pathology.
Thanks to modern methods of treatment, to remove the bones on the legs is not as difficult as before. For this purpose, can be used conservative drug therapy, surgery, laser surgery, as well as traditional methods of treatment.
Reason for education
Recent studies have shown that in more than 90% of all cases, the valgus deformity of the big toe on the foot is a direct consequence of the development of transverse flatfoot. In this state, the foot loses its physiological shock-absorbing properties.
This leads to a gradual displacement of points of support and uneven distribution of loads. As a result of this process, the joints of the foot, especially the phalanx of the thumb, are very affected in humans. At the same time, it deviates to the side and undergoes deformation.
In addition, the following factors play a significant role in the early development of this pathology:
- Excessive physical exertion on the foot, which happens when dancing, ballet, etc.
- Transferred foot injuries.
- Hereditary predisposition
- Use uncomfortable shoes with high heels.
Indications and Contraindications
Immediately it should be noted that in the initial form of the flow of valgus deformity amenable to medical treatment and does not require surgical intervention. Only under the condition of neglect of the disease, when the curvature of the thumb is observed at an angle of 30 degrees or more, the patient needs surgical treatment.
Moreover, it is necessary to remove the bones on the legs in the following cases:
- Pronounced articular condensation in the thumb.
- Flatfoot.
- Active inflammatory processes that cause pain, redness of the skin, swelling of the joint, etc., in a person
- Severe pain while walking.
- The appearance of bleeding or purulent discharge from the deformed area of the foot.
Contraindications to the operation
Before you remove the bones in your legs, you should make sure that the patient does not have significant contraindications for surgery. Thus, one should not practice surgery for obesity, advanced diabetes mellitus, severe heart disease and impaired blood circulation. It is also forbidden to remove the bone on the leg in violation of blood clotting, venous thrombosis and pathologies of the musculoskeletal system.
In order not to worsen his condition, before the operation a person must consult with a doctor and undergo all the necessary research.
Types of operations
Today, surgical removal of the bone is considered the most popular treatment method.
For this purpose, three types of operations can be used, namely:
- "Open" surgery.
- Minimally invasive intervention.
- Laser correction.
Consider the features of the conduct and effectiveness of each of these types of surgical interventions.
Operation on the "open" method
"Open" surgical removal of the bone on the foot is practiced using epidural anesthesia. In this case, an incision is made to the patient to get to the joint and remove its deformed part.
In recent years, this type of intervention has begun to be practiced less frequently, since the effect of it has been durable. This is justified by the fact that if flatfoot caused the deformity, after a few years, the toe joint will begin to deform again.
Minimally invasive surgery
Intervention with the use of minimally invasive techniques provides for the elimination of deformation through micro-punctures on the skin. At the same time, the surgeon will perform the sawing of the bone and changing its axis. After the intervention, the plaster is applied to the human foot.
Laser operation
Laser removal of the bone on the foot is considered to be the safest method of treatment, which, moreover, does not require a long recovery period.
During this procedure, the head of the deformed metatarsal bone is removed by a person with a laser. For this purpose, apply special equipment.
Due to the good postoperative indices, it is laser removal of the bone on the foot that has recently become the most widely used.
Removal of the bones in the legs: the rules of preparation for the procedure, the operation, recovery and treatment effectiveness
Before the removal of the bones on the legs, the patient must pass all the necessary preparatory measures. Thus, it is mandatory for a person to make an X-ray of the foot so that the doctor can see the location of the bump on the bone. An ultrasound scan of the foot and an MRI should also be performed.
Before surgery, it is important to undergo the following studies:
- General clinical blood and urine tests.
- HIV test.
- Blood clotting and sugar levels.
- A blood test for hepatitis.
- Cardiogram.
You can learn more about the nuances of preparation before removing bones in your legs, rehabilitation, and the price of such a procedure in numerous patient forums.
How is going
For all operations for valgus deformity, one action algorithm is characteristic. Thus, initially the person is anesthetized. After treatment with antiseptics, an incision is made on the phalanx of the affected finger. The doctor cuts through the articular capsule, removes callus and cuts through the metatarsal bone. At the end of the procedure, the bones can be fixed with metal structures or plaster.
At the end of the operation, sutures are applied to the fabric, and a special bandage for fixation is applied to the foot.
How effective
The effectiveness of the operation for valgus deformity will largely depend on the root cause of the disease, its neglect, as well as patient compliance with all medical recommendations during the rehabilitation period.
In most cases, the operation helps to level the finger joint and save the person from a prolonged inflammatory process.
Effects
Unfortunately, not all surgical removal of the bones on the legs is successful. For example, when performing open surgery, patients are most often exposed to complications in the form of a violation of the motor functions of a finger, necrosis and infection.
Bleeding, disturbance of the foot, and severe swelling may also occur.
Alternative methods
In the event that a person does not decide on an operation, the following alternative treatment methods will help slow the progression of his illness:
- Conducting supportive anti-inflammatory and analgesic therapy.
- Performing special therapeutic exercises for the feet.
- Use orthopedic insoles that will improve blood circulation and evenly distribute the load from the foot.
- Use soft shoes without heels with tight backs.
- The application of various anti-inflammatory compresses according to popular recipes.
Price
Removal of the bones on the legs is considered to be a rather expensive procedure when using any technique. In many ways, the cost of this manipulation is determined by the neglect of the pathology in a person, the clinic where the operation will take place, as well as the qualifications of the surgeon.
On average, removal of the valgus deformity will cost 50,000 rubles. This cost does not include preparatory procedures, as well as the necessary medicines for the healing of postoperative wounds.