How to relieve hallux valgus? Treatment of hallux valgus

The thumb is the shortest finger, but its function is unique because it can strengthen people's finger grip and so on. The health of the thumb is also very important for the entire palm. In modern life, many people cherish their fingers and are afraid of hurting them. The thumb is a finger that is more prone to accidents. For example, hallux valgus is a common symptom. It has a great impact on people's thumb function and will also destroy the original appearance of the fingers, making them look very ugly. Therefore, it must be effectively treated. Let's take a look at the explanation of how to treat hallux valgus.

(i) Osteophyte and bursa resection is suitable for elderly patients. Under epidural anesthesia or calcaneal block anesthesia, apply a tourniquet. Make an arc-shaped incision on the inner side of the metatarsophalangeal joint of the big toe, remove excess skin of the big toe, retract the cutaneous nerve under the incision, and protect it from damage. What is the treatment for hallux valgus? The medial side of the metatarsophalangeal joint capsule is exposed, and the joint capsule is incised in a tongue-shaped flap with the flap tip pointing to the proximal end of the metatarsal. The osteophyte on the medial side of the first metatarsal is revealed when the tongue flap is lifted. The osteophyte is chiseled off to make the metatarsal head flush with the metatarsal shaft, and then the medial tongue-shaped joint capsule is tightened and sutured. What is the treatment for hallux valgus? If the deformity cannot be completely corrected, the adductor pollicis muscle can be cut off before suturing the joint capsule. The plaster is fixed in the corrected position for 2 to 3 weeks after surgery.

(ii) Oblique osteotomy of the first metatarsal is suitable for young and middle-aged patients without osteoarthritis of the metatarsophalangeal joint. A double-bevel osteotomy is performed at the junction of the head and neck at the distal end of the metatarsal shaft, so that both the anterior and lateral osteotomies are beveled, with an angle of 30°. After the osteotomy, the distal end of the metatarsal is pushed outward along the osteotomy line by one cortical width, a Kirschner wire is used for internal fixation, and the proximal medial bone protrusion is bitten off. Postoperative plaster immobilization for 4 weeks. Once the local tenderness disappears, you can try walking.

(III) Metatarsophalangeal joint arthroplasty (Keller procedure) is suitable for patients with osteoarthritis of the first metatarsophalangeal joint. What is the treatment for hallux valgus? Make a straight incision on the inner side of the first metatarsophalangeal joint, remove the proximal 1/2 to 2/3 of the proximal phalanx, pull the big toe to create a 0.5 cm gap between the metatarsophalangeal joints, and suture the wound with or without Kirschner wires for fixation. Remove the bursa and osteophytes, and start walking after 2 weeks of plaster fixation.