Types of surgery with a bone on the leg

A bone on the leg, which causes pain and discomfort, can be operated in more than 200 ways. Far from all of them are sparing, therefore after each operation a different period of rehabilitation is needed. Let's look at the most common methods of surgical intervention, if an unpleasant bone is located on the big toe.

What operations can be used to remove the stone?

To remove the stone on the leg, it is necessary to correct the deviation of the thumb, which, when deformed, begins to look outward, and not into the foot. This is the goal of any operation, after which we want to see our legs beautiful and well-groomed. Yes, and again to get on the heel.

These operations are conditionally divided into such.

Operate soft foot tissues

When the scalpel is applied to soft tissue, the capsule of the first metatarsophalangeal joint is sutured, because it was stretched. The mucous bag of the sick joint is excised, and the tendons are made longer by the doctors or transplanted. That's how, as a children's designer, pieces of surgeons correctly fold the foot. When the foot acquires its present, natural, and not twisted, position, the bone is no longer visible. The outlines of the foot are beautiful, graceful, no cones and deformities.

Do operations on bone tissue

Bones operate with advanced stages of bone growth on the leg. This is the most common type of surgical intervention with bursitis, from which the big toe suffers.

Bursitis is an irritation or inflammation of the synovial bag. It lies between the tissues of the muscles, tendons and bones under the skin, thanks to the fluid that it contains, softens the friction between the joints. The joint, affected by bursitis, looks like a red slovenly slide, often protruding from the knee, elbow, shoulder. She is very painful. When the joint disease is started, and medical methods do not help, doctors can only take up the scalpel.

[1], [2], [3], [4], [5], [6], [7], [8]

Surgical interventions are combined

In this case, affect both soft tissues and bones. Combined operations are not as traumatic as those performed on bones, they have much less rehabilitation period.

More details about the types of operations on the bones

If a person is worried about bursitis - an unpleasant appearance of the inflamed area, pain and redness, most often doctors offer surgery on bones. In the case of this surgical intervention, surgeons act primarily on the diaphysis (the body of the tubular bone), as well as on the joint head. The first phalanx of the big toe (its base) is also subjected to surgical intervention. Let's take a look at the main, most popular types of surgical intervention that took place decades ago and are successfully carried out today.

Operation of the Shed-Brandes

This operation is carried out with transverse flatfoot and deformation of the foot. It is done by resection of exostosis, it is carried out on the lateral part of the first bone of the metatarsus - this is an operation according to Shede.

After this operation, at the time of its completion, a resection is performed on the first toe of the foot (its main phalanx). This surgical intervention bears the name of Brandes, the scientist who proposed it and successfully applied it.

To fix the foot in the correct position, a gypsum lintet is placed on it. Then, within two weeks after surgery, surgeons adjust the shape of the foot, pulling the phalanx of the nail of the first toe. That, in fact, is the essence of the operation of the Shed-Brandes.

Physiotherapy

In order for the foot to strengthen and restore blood flow in it to prevent muscles, ligaments and tendons from stagnating, the physician prescribes therapeutic physical training. She is engaged on the fourth day after the operation. First remove the hood of the foot, then between the fingers - the first and second - insert the rollers of gauze to adjust the position of the fingers.

Orthopedic shoes

Approximately a week after the operation and therapeutic exercise for a person who underwent surgical intervention in the Shde-Brandeis, recommend shoes with special orthopedic insoles made to order, taking into account the features of the foot. They are done quickly - in only half an hour. In the insole should be the laying of the transverse arch and the longitudinal arch of the foot. In this case, between the fingers for a while (a week or two) there are tabs between the fingers, the first and the second, to adjust their position.

Operation Vreden-Mayo

This operation has a number of similar surgical interventions: according to Chaklin, according to Bom, by Reverden. During these operations, the osteotomy of the head of the first bone of the metatarsal is rotated or the first bone of the metatarsus near the head is operated. True, this method has its drawbacks. As for the operation on Vredenu-Mayo, after it a person may be uncomfortable standing on the foot, because the support of the foot is deformed, and from this there is not enough support when walking.

The deviation of the first metatarsal bone remains, and the effect of the spreading of the foot - its anterior part - also does not disappear anywhere. Despite the good cosmetic effect after such an operation, the bone can stick out again. That is, relapses are possible. That is why there is an opinion among the people that operations on the foot are harmful and useless, that soon the bone returns to its place. But this is a wrong opinion, because everything depends on the features of the deformation of the thumb of the foot and its arch, and also on what operation is chosen.

Operation-reconstruction of Kramarenko or Boyarsky

Reconstructive operations are good because they correct the parts of the foot with their help, and its deformed form is corrected, the foot becomes beautiful, it has enough rest to make the person walk well. And the pain stops worrying.

So, in the operation of Kramarenko or Boyarsky, first an operation is performed on the Shde-Brandes. Those areas of bone tissue that have undergone resection are used in the further actions of the surgeon. Further they make an osteotomy of the metatarsal sphenoid joint in order to remove the deformity of the metatarsal bone, the first one under the account. In the place of osteotomy, an orifice is formed into which a transplant is driven, which is made from the patient's bone tissue (a piece of bone from the phalanx of the thumb that was left as a result of the operation of the Shde-Brandes). Thus, in the body there are no foreign tissues, screws, spokes - doctors do not use the patient's bone patches, as a result of which they get very comfortable. Then correct the bunch of the foot itself. This is done by using a tape made of dolcano. Its role is to keep the metatarsal bone in the right position.

Correct fixation of joints

To keep the foot in the correct position, a plaster is applied on it. It stays for 4-5 weeks, then the plaster is removed, and a person can walk fully. Five days after the operation, it is possible to carry out corrective gymnastics with a curative effect. This gymnastics is mainly aimed at restoring flexibility to the thumb of the foot and strengthening it.

To keep the foot in the same position as it was folded during the operation, a rubber cuff is placed on it, and there is a liner in it that supports the arch of the foot. When a person is discharged after removing the gypsum and

The forefoot is fixed with a rubber cuff, with a liner supporting the transverse arch. When taking home, they recommend wearing orthopedic shoes. And the bone on the leg ceases to be a problem, if, of course, take care of your own feet.

[9], [10], [11], [12], [13], [14], [15]