What is a good way to treat bigfoot?

Inside and outside the commonly used several surgical methods:

1, bony surgery: bony surgery is generally more thorough, the correction of deformity effect is good, and the postoperative recurrence rate is low. The most commonly used osteotomy at home and abroad is the Chevron osteotomy. After the distal metatarsal osteotomy, the metatarsal head is pushed outward and fixed with a single Kirschner pin or dowel, which is a stable fixation that allows the patient to walk on the floor after the operation. It is suitable for patients with mild to moderate enlargement of the intermetatarsal angle. The osteotomy of the metatarsal stem: Scarf and Ludloff osteotomies are commonly used both at home and abroad for patients with moderate to severe enlargement of the intermetatarsal angle, with the advantage of a complete correction and the disadvantage of a later downtime compared to the distal osteotomy, which requires a high level of surgical skill.

3) Metatarsal base osteotomy and fusion of the first metatarsal cuneiform joint: The base osteotomy is used in patients with severe intermetatarsal angle enlargement, and is only used in special cases because of the shortcomings of the metatarsal head elevation after the operation. Metatarsal cuneiform joint fusion is commonly used in patients with lesser valgus who have instability of the first metatarsal cuneiform joint or osteoarthritis of the first metatarsal cuneiform joint, and is commonly used in patients with Lapidus surgery. ④There are 3 options for patients with osteoarthritis of the first metatarsophalangeal joint

(1) Keler's procedure: for the elderly and infirm who are unable to tolerate prolonged surgery or who only require localized pain resolution. (2) Joint fusion: for those who are physically active or prefer sports. (3) Artificial metatarsophalangeal joint replacement: for patients who require better joint movement after surgery, who have easy work, and who are financially well off.

2. Minimally invasive small incision surgery: a kind of bony surgery, three 0.5cm incisions are made in the distal metatarsal bone, resecting the proliferation of bony encumbrances, lateral joint capsule incision, osteotomy of the distal metatarsal bone, and the metatarsal head is pushed to the lateral side after osteotomy, and the metatarsal head is not fixed by Kirschner's needle or dowel, but is tied up with gauze bandage, which can often achieve a satisfactory result in the clinic. In Europe, America, and domestic large general hospitals, in order to avoid intraoperative blind cutting damage to nerves, blood vessels, tendons, and postoperative displacement of the metatarsal bones, it is often preferred to fix the metatarsal bones with Kirschner's pins or screws after the osteotomy under direct vision.

3, soft tissue surgery: mainly consists of 3 parts: ① resection of the medial malleolus of the first metatarsal head; ② release of the lateral soft tissues of the first metatarsophalangeal joint, including lesser medial retractor tendon cut off, and the lateral joint capsule incision; ③ strengthening of the medial soft tissues of the first metatarsophalangeal joint, and tightening of the joint capsule suture. The main methods are Silver, McBride operation, some need to be combined with the wedge-shaped osteotomy of the proximal phalanx of the lesser toe (Akin operation). This type of surgery is mostly suitable for patients with mild bunion deformity, mainly manifested as symptoms of inflammation of the calcaneus.