Hallux abducto valgus is the most common orthopedic problem of the forefoot. These are the so-called “foot bones”, “foot bumps”.
Many people consider “bones” on the feet to be gout (or salt deposits), but believe me, this disease has nothing to do with gout.
A “bunion” on the foot in the area of 1 toe is usually the result of transverse flatfoot. With age, the feet become flatter, and the longitudinal and transverse arches of the feet decrease. But one can argue: not all people with flat feet experience these painful “bumps”...
The cause of bunions in the feet is the so-called dysplastic (hypermobile) syndrome. This is an individual anatomical predisposition, which consists of a high degree of elasticity (hypermobility) of all joints (including the joints of the feet). Patients often have a family history of the disease and note that the same foot problems bothered both their mother and grandmother...
As a result of this hyperelasticity, an imbalance of the capsular-ligamentous apparatus occurs in the area of the 1st metatarsophalangeal joint of the foot, as a result of which the first metatarsal bone deviates inward, and the first toe deviates outward. In simple words, a “bunion” is an angular deformation of the bones of the foot, and not a “bone growth”, as many people think.
Provoking factors for the appearance of “bumps” on the feet are wearing tight shoes or shoes with narrow toes. Heeled shoes, as a rule, do not lead to the formation of this disease. Quite rarely, the cause of bunions can be any foot injury or disease (rheumatoid arthritis).
Valgus deformity of the 1st toe in most cases is a “female” disease. The growth of “bones” begins at a young age and gradually progresses, reaching a peak at the age of 45-60 years.
In most patients, the problem is bilateral: deformity of 1 toe occurs on both feet. The characteristic symptoms of hallux valgus are the presence of so-called bunions (“bumps”) on the feet in the area of the first toes; the first toes themselves deviate outward. Often there is pain on palpation and hyperemia (redness of the skin) in the area of the “bone”.
At a young age, only a cosmetic defect is noted; later, as the hallux valgus deformity of 1 toe progresses, pain appears when wearing shoes.
In hyper-advanced, untreated cases of hallux valgus of 1 toe, due to constant friction of the bump on the feet in shoes, serious complications can arise, such as purulent bursitis, purulent arthritis of the 1st metatarsophalangeal joint, osteomyelitis (purulent inflammation of the bone):
To assess the deformation of 1 toe, radiography of the forefoot is performed in 2 projections: direct and lateral.
An X-ray examination is necessary to assess the condition of the foot bones themselves (the presence of osteoporosis, bone cysts, arthrosis changes in the joints, etc.) and to determine the parameters of valgus deformation of the 1st toe (the angle of deviation of the first toe, the angle of deviation of the first metatarsal bone, the PASA angle, parameters Lelièvre's parabolas, etc.).
After measuring all the obtained radiological parameters, the degree of valgus deformity of 1 toe is determined, and the issue of treatment tactics is decided accordingly.
There are three degrees of deformation of the first toes:
outward deviation of 1 finger (angle M1-P1) < 25°
deviation of the 1st metatarsal bone medially (angle M1-M2) < 12°
deviation of 1 finger outwards (angle M1-P1) > 25°
deviation of the 1st metatarsal bone medially (angle M1-M2) < 18°
PASA angle - normal or negative
outward deviation of 1 finger (angle M1-P1) > 35 °
deviation of the 1st metatarsal bone medially (angle M1-M2) > 18°
PASA angle – negative
Prevention and conservative treatment of hallux valgus:
Currently, orthopedic salons offer a large selection of various orthopedic products for the prevention and treatment of bunions: silicone (gel) interdigital inserts, bursoprotectors, their combinations (for example Valgus-Pro), night and day abductor bandages for 1 toe, orthopedic insoles and etc.
I'll be honest: the effect is ZERO.
I can assure you that all conservative methods (the use of orthopedic correctors, various “folk methods”, physiotherapy, massage, manual therapy, etc.) will not relieve you of these “bumps” . They can only temporarily reduce inflammation (redness) and pain, but in no way can correct the existing deformity of the foot bones.
On the Internet you can find information about the so-called “author’s non-surgical methods” for treating hallux valgus. This is pure quackery. How do you like this nonsense (found on the Internet): a “bone” appears on the legs if a person has a stitch after appendicitis...
Do not think that I am an ardent opponent of traditional medicine and other methods of conservative treatment, I just want to save you from wasting precious time and senseless financial expenses.
Believe me, the only optimal method of getting rid of hallux valgus of the 1st toe is surgical treatment.
Operations for hallux valgus were carried out in ancient times (since the time of Hippocrates). In the entire history of world orthopedics, about 300 different surgical methods for treating hallux valgus of the first toe are known. Of course, most of them are not used now, since they are considered ineffective and sometimes quite traumatic.
Currently, high-tech, low-traumatic and, most importantly, effective surgical methods for treating bunions in the feet have been developed and are being successfully carried out.
Nowadays, hallux valgus orthopedic technology uses a special innovative potential (various titanium alloy fixators, microblades, microdrills, etc.), with the help of which it is possible to achieve very stable bone fixation, which in turn allows the patient to begin early activity: walking immediately after surgery, no cast, no crutches.
There are several types of surgical treatment for bunions in the feet. There is no universal method of surgery that would suit all patients, because everyone has different feet and different types of static deformities.
The choice of surgical method, as a rule, depends on the anatomical and functional features (type and degree of deformation of 1 toe, the presence of other concomitant problems of the forefoot).
Focus on an individual approach in choosing one or another method of reconstructive surgery on the feet and careful preoperative planning, all this underlies the successful outcome of surgical treatment of hallux valgus.
If we talk about surgical methods for treating static deformities of the forefoot, today there are 2 approaches to surgical techniques: minimally invasive foot surgery and operations using the so-called “open” method.
Minimally invasive surgery is based on eliminating forefoot deformities without any skin incisions, but through mini-incisions (mini-punctures). The founders of this method of surgical treatment of forefoot deformities are S. Isham, M. DePrado, S. Guillo.
In short, the meaning of this surgical method is that from small punctures (without incisions) measuring 1-3 mm, using special instruments (Beaver microscalpel, micro-drills of various lengths and shapes), bones are sawed in certain places of the foot. As a result of these bone filings/sections, the axis of the bone changes, thereby eliminating its deformation. No fixation of bone fragments (no screws, no plates, no staples) is used.
Such operations require a certain surgical skill, a special set of micro-instruments and are performed under X-ray control (EOC).
The “mini-invasive” method has a number of advantages: there are no surgical incisions, mini-punctures heal very quickly, there is no trauma to soft tissues...
But there is also a limitation in the use of this minimally invasive surgery: such operations can be performed only in the initial stages of hallux valgus deformity of 1 toe (grade I).
With higher degrees (II and III degrees) of deformity of the 1st toe, and this is the highest percentage of cases treated, minimally invasive surgery is usually ineffective.
Based on the foregoing, in our practice we perform minimally invasive operations only in the very initial stages of deformity (hallux valgus stage I), or as an addition to “open” surgery to eliminate hallux valgus of 1 finger (varus osteotomy of the proximal phalanx of 1 finger (AKIN)) , or with combined pathology of the forefoot (hammer deformities of 2-3-4 toes, metatarsalgia of the feet).
We perform most reconstructive operations for hallux valgus deformity of the first toe using the so-called “open” method.
Today, high-tech methods of surgical treatment of hallux valgus deformity of the 1st toe are successfully used in orthopedics. There are several types of operations, but the staged operational tactics are standard.
In case of severe deformity, varius wedge osteotomy of the proximal phalanx of the 1st finger (AKIN) is used as an addition to osteotomy of the 1st metatarsal bone. If the metatarsocuneiform joint is unstable, we perform arthrodesis.
In 2009, fixation with NEXTFEET bioabsorbable screws (France) was introduced into practice (for the first time in Moscow), but now we do not use these screws due to an insufficient degree of stability.
titanium compression cannulated
screw BOLD (Newdeal)
NEXTFEET cannulated screw
You can view photos of the stages of the operation (SCARF) on the “bone” of the foot by going to this presentation. The impressionable please do not watch.
Such operations have proven themselves in world orthopedic practice and are the so-called “gold standard” in the treatment of hallux valgus. The effectiveness of these operations is close to 100 percent; recurrence of deformity (reappearance of “bunions” in the feet) is, as a rule, excluded.
When a hallux valgus deformity of 1 toe is combined with another pathology of the forefoot (hallux interphalangeus, hammertoe deformities of 2-4 toes, metatarsalgia of the foot, Morton's neuroma, Taylor's deformity), the entire necessary range of surgical intervention is performed simultaneously.
Stages of treatment (information for patients):
Sports activities after removal of cones on the legs are allowed 5 months after surgery.
Magnetic healing patch for bunions on the feet. Magnetic patch for lower back pain. 9monahov.ru
* is not a medicine
A perforated magnetic patch with a medallion of healing composition applied to it, including more than 30 herbs of Chinese traditional medicine, with a magnetic disk in the center. Miao Lao Di series series. It combines the therapeutic effect of a magnetic field with the action of herbal extracts.
The patch is intended for use in the treatment of alleviating the symptoms of all types of hypertrophy of cartilage and connective tissue:
The medicinal composition of the patch consists of Chinese traditional medicine herbs growing in the southwest of Guizhou. The patch is made using unique modern technologies based on ancient recipes of the people of the Guizhou province.
Apply the patch to a clean, dry area of skin in the problem area. Use one patch for 2 days.
Store in a cool and dry place. It is not recommended for use by persons suffering from skin allergies; use with caution in pregnant women. Do not use on skin areas with open wounds.
Individual intolerance to components. It is not recommended for use by persons suffering from skin allergies; use with caution in pregnant women. Do not use on skin areas with open wounds.
Additional recommendations for complex treatment of “bunions” in the legs with moderate bone deformities: massage, physiotherapeutic sessions, physical exercises. To strengthen the ligamentous apparatus of the foot, you can perform the following exercises - rotation of the feet in one direction and the other, flexion and extension of the legs at the ankle joint, abduction of the feet outward and bringing them inward, flexion and extension of the toes, grasp a cloth or pencil with the big toes, lift and put them on the floor; Pull a large elastic band between your big toes and stretch it in all directions.
The hyperosteogeny magnetic patch is manufactured by Miaolaodi. The company is located in the cleanest place in China. The company has 2 areas of activity: the production of medicinal plasters and bottled clean water for children.
Buy a Chinese hyperosteogeny magnetic patch for bunions and spurs with delivery by Russian Post and other methods convenient for you. Here is an incomplete list of cities where we have already sent parcels with Chinese hyperosteogeny patches: Moscow, St. Petersburg, Novosibirsk, Yekaterinburg, Nizhny Novgorod, Kazan, Chelyabinsk, Omsk, Samara, Rostov-on-Don, Ufa, Krasnoyarsk, Perm, Voronezh, Volgograd, Krasnodar, Saratov, Tyumen, Togliatti, Izhevsk, Barnaul, Irkutsk, Ulyanovsk, Khabarovsk, Vladivostok, Yaroslavl, Makhachkala, Tomsk, Orenburg, Kemerovo, Novokuznetsk, Ryazan, Astrakhan, Naberezhnye Chelny, Penza, Lipetsk, etc.
The use of orthopedic insoles for bunions is an integral part of the treatment process. They help prevent the development of hallux valgus, protect against painful discomfort and put the incorrect joint in its proper place.
Orthopedic insoles for the treatment of bunions on the feet are made of cork, genuine leather, fleece, sheep's wool or velor . Many orthotics combine several materials that enhance their functions:
Insoles are available with or without a frame. The second option is for people who move frequently or engage in physical activity on a regular basis. Anatomical insoles for bunions with a plastic base are used up to 6 hours a day to avoid fatigue.
A large orthopedic insole for the treatment of an overgrown bone on the foot resembles a foot print, and small insoles are significantly different from it:
Anatomical insoles for bunions are developed specifically for open and closed women's shoes with heels. They are almost invisible and greatly increase wearing comfort. The operating principle of the insoles is as follows:
There are several main types of insoles for correcting big toe deformities. They differ according to the type of shoes used:
Using custom-made products, you can ensure the most correct stress relief from the foot. The spring function of the legs is normalized, they are held in a normal position. You can make similar insoles in some salons that sell anatomical products. The process will not take more than 1 hour.
The thickness of the orthopedic insole from the bunion does not exceed 2-3 mm and can be inserted into any shoe. It is also possible to produce such products in clinics that treat hallux valgus. Additionally, the insoles relieve stress from the entire body and ensure the correct position of the entire musculoskeletal system.
A very popular method of purchasing orthopedic goods is ordering online. In this case, ensuring the correct choice of some types of insoles can be difficult, but people living in small towns sometimes have no other choice.
But it is quite appropriate to buy various splints, inserts and adjustable bandages in this way: they do not have individual characteristics and are easily selected according to certain groups of parameters.
In addition to the use of orthopedic insoles, the process of treating bunions on the big toes requires accompanying measures. most often they belong to the early stages of deformation, since with serious development of the pathology only surgery can help.
Pain while walking is the first signal of the development of hallux valgus, and even the appearance of stage 1 pathology is possible, and during this period it is important to take all measures to eliminate excess load on the legs:
A bulge begins to be felt near the toe. As soon as you notice it, begin treatment, avoiding the need for surgery. To do this, just choose comfortable shoes with wide toes.
If you notice the pathology at stage 1, then treatment in this way will be effective and will not require further, more complex procedures.
You should use insoles at the first symptoms of deformation, but if you regularly wear narrow high-heeled shoes, then their use is also important for preventive purposes. The cuts are the same anatomical insoles, made individually.
Anatomical shoes for the treatment of bunions are sold in special stores, but are even more often made to order. Helps restore the correct position of bones. The load in such a pair of shoes will be distributed evenly.
A valgus splint for bunion correction is used for more significant deformities. It helps with flat feet, eliminates curvature of the big toe and relieves pain.
Tires are produced in different countries and are often found in pharmacies or specialty stores. The accessories are convenient to use; they perform several useful functions:
But treating hallux valgus with insoles, splints and proper shoes alone is impossible. To do this, you need to use special substances - creams and ointments.
Correct insoles for hallux valgus are a way to effectively control the disease, and in the early stages it is also one of the best methods for treating pathology.
In modern life, there are many non-physiological stresses on a woman’s body. These are fashionable high-heeled shoes, standing for a long time, not very high-quality shoes, and poor physical activity.
Let us consider the main “pros” and “cons” of such orthopedic structures.
The Valgus Pro clamp is considered the most popular. Its soft design consists of two parts: a liner between the first/second toes and a “petal” that lies on the inner surface of the foot. The braces are sold in sets of two for the right/left foot.
However, the silicone frame does not have a rigid fixation that could eliminate hallux valgus. Therefore, if you need treatment for bunions on your feet, orthopedic devices of this type will not be suitable: a design that is too elastic can only relieve the symptoms of the disease, so the degree of deformation will remain the same. In addition, daily washing and application of talcum powder will be required.
Conclusion: Silicone retainer is suitable for the prevention or relief of symptoms of hallux valgus. To treat hallux valgus, using it alone is not enough.
Their frame is attached to the inside of the foot and secured with elastic fasteners. It is made of rigid material, but has a movable joint in the metatarsophalangeal joint. The main purpose of using hinged fixators is postoperative rehabilitation, when, after removing a rigid bandage/splint/plaster, a gradual increase in the range of active movements in the metatarsophalangeal joint is required.
In addition, due to the high cost of the original retainer, many low-quality fakes have appeared.
Conclusion: The articulated brace is intended primarily for postoperative rehabilitation.
Rigid fixators are used for the conservative treatment of hallux valgus, as well as for the first stage of postoperative rehabilitation. Valgus tires have a dense frame, elastic fastenings, and appropriate markings are applied to the right and left. Once unpacked, they can be put on your foot straight away, there is no need to assemble or screw anything. It is enough to adjust the size of the bandage to the parameters of the foot, adjust the angle of the toe deviation and securely fasten the clasp.
At first it is unusual to sleep with a night brace, but after a few days you will get used to it so much that you will stop noticing it.
Conclusion: a night bandage of the big toe is the most effective and optimal option for the conservative treatment of hallux valgus.
Orthopedic devices used to get rid of bunions, reviews of which can be found in large numbers on the Internet,? universal remedy. According to those who have already tried the night bandage, it helps reduce the load on the joint, restores the transverse arch of the foot, eliminates pain, eliminates chafing and the formation of calluses, and corrects the deformation of the big toe. And, ultimately, returns the foot to its natural shape.
Since the permissible length of skirts no longer interfered with the view of the legs, a woman’s legs are considered one of the main components of her beauty. Therefore, any problem with the legs is taken to heart by the fairer sex. And this part of the body has a lot of problems. Varicose veins and heel spurs, problematic skin and increased hair growth, calluses and corns - all these changes threaten the beauty of our feet. A special group of foot diseases is represented by flat feet and its complication, known as “bunions” or valgus deviation of the big toe - this problem will be discussed in our article.
Mistaken by many people for a manifestation of gout, salt deposits or deforming arthrosis, a lump that forms at the base of the big toe, in the vast majority of cases has nothing to do with these diseases. The main reason for the formation of “bunions” is transverse flatfoot – a deformation of the foot associated with insufficient strength of the ligamentous apparatus. Transverse flatfoot develops in childhood and, if the rules leading to a rational distribution of the load on the foot and strengthening its arch are not followed, it progresses with age, gradually turning into a serious problem. One of the complications of uncompensated transverse flatfoot is the deformation of the big toe, which deviates towards the 2nd toe, bends, and its base protrudes on the inside of the foot in the form of a bump or bone. This change on the side of the big toe is called hallux valgus (valgus deformation of the big toe, “toe bones”) and is one of the most common orthopedic problems.
“Bones on the feet” is predominantly a female problem, which is associated with a genetic predisposition to the disease, transmitted mainly through the female line, the influence on the development of the disease of hormonal changes caused by pregnancy and menopause, as well as an exclusively female feature - wearing narrow-toed shoes with high heels . That is why for every 5-7 women suffering from hallux valgus, there is only one male sufferer.
Other factors that contribute to the appearance of bunions are excess weight, dietary habits (lack of vitamins A, C, E in the diet), endocrine diseases, prolonged stress on the legs for a long time (“standing work”) and foot injuries. Most often, “foot bones” appear in women aged 30-40 years, but there are cases where the disease developed at a younger (12-14 years) and older age.
Depending on the degree of curvature of the big toe (determined by X-ray examination), there are several stages of hallux valgus (“bunions”) :
1st degree - the displacement of the big toe is less than 20 degrees, the pathology brings purely aesthetic inconvenience; there is no pain or discomfort;
2nd degree - the displacement of the finger is 20-30 degrees, against this background discomfort and minor, intermittent pain appear, mainly during long walking;
3rd degree - the displacement reaches 30-50 degrees, characterized by significant pain in the bone and limited mobility in the thumb joint;
Grade 4 - displacement of more than 50 degrees, severe pain, discomfort when walking, problems with choosing shoes, and a tendency to form calluses.
The long-term existence of “toe bunions” leads to secondary changes in the bones and joints of the big toe, including flattening of the head of the bone, the appearance of bone growths, and the development of a chronic inflammatory process in the joint itself (arthrosis) and the joint capsule (bursitis).
Diagnosis of hallux valgus is carried out by an orthopedic doctor based on an analysis of the patient’s complaints, examination results and X-ray data of the foot bones. Only an orthopedist will be able to distinguish true hallux valgus from manifestations of arthritis, arthrosis deformans, gout and other joint diseases. Analysis of all the information allows you to make an accurate diagnosis, determine the degree of hallux valgus and select the optimal treatment regimen for bunions.
Treatment of patients with bunions is carried out in several directions.
Contraindications to surgical treatment of bunions include severe general somatic diseases, severe obesity, varicose veins, heart and vascular diseases.
The nature of the treatment for hallux valgus is selected individually, depends on the stage of development of the “bunion” and is determined exclusively by the attending physician. In most cases, conservative treatment is carried out, consisting of diet therapy, physiotherapy, exercise therapy, massage and orthopedic measures, including the use of corrective splints. At stage 4, surgical treatment of hallux valgus is indicated, after which patients are also recommended to wear a hallux valgus splint.
Like many other chronic diseases, bunion (also known as hallux valgus) develops gradually, gradually - and this is its danger. Ignoring early signs of a problem, such as changes in the appearance of the foot, discomfort in the legs, minor pain and increased leg fatigue, may result in the need for surgery to cure. Therefore, if a woman wants her legs to attract the favorable attention of others, she herself should be the first to give attention to her legs. Take care of your health!
Author: Orthopedist of the highest category, MD. Polulyakh Mikhail Vasilievich
“Bunions,” or deformities of the big toes, are quite common in women. Today, orthopedists have the opportunity to save beautiful legs from suffering without painful operations.
Valgus deformity of the foot (hallux valgus), or, as people say, a “bump” (“bump”), is an ailment that is often found among the fair sex. Mostly women suffer from it. In men, the ligaments are stronger and more elastic, so the feet are deformed, as a rule, only as a result of injuries.
Experts explain the appearance of “bumps” on the legs by the protrusion of the head of one of the bones under the skin. With this disease, the thumb deviates outward, and sometimes runs over its neighbors. As a result, they become twisted and the foot becomes ugly. Instead of beautiful shoes, a woman has to wear shapeless, trampled shoes. Over time, the gait becomes heavy and a limp occurs. In addition, a swollen joint causes pain, swelling, calluses and inflammation.
Hallux valgux (HV) (in common parlance, a “bump” on the big toe) is characterized by a significant abduction of the first toe towards the little toe, which usually develops over a long period of time, gradually and steadily deforming the foot. Despite the wide variety of individual changes in this case, namely: pain, immobility and hammertoothness of the second finger, calluses, bumps, corns, inflammation and others, perhaps the most important is the deviation of the metatarsal bone, to which the first finger is attached, to the midline , towards the opposite foot. In this case, the bone outgrowth (exostosis, exophyte, osteophyte), more often referred to in everyday life as a “foot bump” or “foot bone,” in the head of the first metatarsal bone at the base of the toe may not be too large. In this case, the elasticity of the foot (mobility, displacement of the bones of the foot), the elasticity of the foot as a single architectural complex with the obligatory transverse and longitudinal arches is lost. The “flatness” of the foot increases, its bones - the metatarsals - move apart, and transverse flatfoot, in fact, becomes the main factor in the disfigured foot, preventing normal walking: the growing pain in the sole becomes intolerable.
Causes of hallux valgus (“bones”, “bumps” on the legs)
The causes of hallux valgus are not completely clear, but it has been noted that genetics and endocrine disorders play a large role in the development of the disease (it is no coincidence that the disease actively progresses during menopause). Often, girls inherit their family bone from their mother or grandmother.
Transverse flatfoot, which is often congenital, is also considered a risk factor. If you have such a problem, it is very important to contact an orthopedist as soon as possible. Today there are many ways to help stop the development of pathology. There are special devices, such as arch supports, that support the arch of the foot in the correct position and thereby ease the load when walking. A special insole should be chosen only on the recommendation of a doctor, since poor quality products can cause harm. In addition, some people need to use arch supports constantly, while others only need to use them under long-term loads. Other auxiliary methods for treating flat feet include special physical exercises, massage and physiotherapy.
The cause of the appearance of “bumps” is also excess weight, which puts pressure on the feet, forcing them to flatten. Poor nutrition is unlikely to lead to foot deformation, but it can aggravate the situation. Excess salt, sugar, fatty and meat foods are harmful to joints. A dairy diet and foods rich in vitamin E (vegetable oil, nuts, fish) are beneficial.
A “bone” can be not only genetically programmed, but also acquired. This is due to uncomfortable or ill-fitting shoes. Orthopedists especially do not like high heels and pointy socks. In such shoes, the load is distributed unevenly, especially on the forefoot, which leads to deformation of this area and arthrosis of the big toe joint. Fat ladies sporting stiletto heels are at greater risk of becoming a victim of fashion.
Many women are ready to simply lie down with bones, just to get rid of the hated “bone”. Compresses of burdock leaves with turpentine, crushed cabbage leaves, onions, iodine nets, massage and warm foot baths with soda and herbal decoctions are far from a complete arsenal of techniques used in an unequal struggle. Unfortunately, these procedures only temporarily reduce inflammation and pain, but do not solve the main problem - joint deformation. However, women continue to believe in the miraculous power of alternative medicine and try one after another the most ridiculous and completely unsafe recipes (for example, they agree to beat the “bump” with a wooden hammer for five to seven minutes).
These include insoles, arch supports and silicone intertoe cushions, which are inserted between the first and second toes (thanks to them, the foot is slightly aligned), as well as toe correctors, which are worn at night. The latter keep the thumbs in the correct position, preventing them from deviating. In the fight against progressive foot deformation, a brace is used (a wide elastic band with a tubercle insert for the transverse arch of the foot), which, however, cannot be worn constantly, as it interferes with normal blood circulation. There are also special pads - splints that create a comfortable barrier between deformed toes and shoes. All this alleviates the patient’s condition and allows one to postpone a radical solution to the problem.
The first operations to remove the “bump” were barbaric: surgeons simply sawed off part of the head of the metatarsal bone. Later, Russian surgeon R.R. Vreden proposed his method, unfortunately, some orthopedists still use it to this day. The purpose of the operation is that the patient has the protruding head of the metatarsal bone completely removed. As a result, the big toe loses contact with the foot and rests only on soft tissues. And although people retain the ability to walk, such an operation essentially does not cure, but cripples a person.
These are fundamentally new operations that allow patients to walk the very next day after surgery, and three to four days later to be discharged from the hospital. Unlike the described methods, an integrated approach is used here. In addition to removing the “bump,” the tendon is moved through a three-centimeter incision, forming a transverse arch of the foot and thereby reducing flat feet. And all this without sawing through your finger bones! In this case, no cast or crutches are needed. In advanced cases without osteotomy (intersection of bones), the bones are fixed not in the old fashioned way - with knitting needles, but with small screws, which do not need to be removed later. After a week, patients can go home. They return to a normal lifestyle within a month and a half after the operation. Twenty years of global experience in performing such operations has shown that excellent and good results can be achieved in more than 90% of patients. Relapses do not occur with strict adherence to the regimen.
Based on materials from the article “Fan-shaped toes: “bones”, “bumps” on the feet, deformation of the big toes”