Traditional Culture Encyclopedia - Traditional festivals - Can a 24-year-old girl's hereditary high arch foot be cured?
Can a 24-year-old girl's hereditary high arch foot be cured?
Treatment measures
Early mild high arch foot can passively stretch plantar contracture fascia and shortened medial plantar muscle. In order to reduce the pressure on the metatarsal bone and distribute the weight evenly, a felt pad with the thickness of 1cm is added in the shoe corresponding to the metatarsal bone, and the thickness is 0.3 ~ 0.5 cm on the rear lateral side of the sole, so as to reduce the pronation tendency of the hind foot when walking. However, these measures can only alleviate the symptoms, neither correct the high arch foot deformity nor prevent the deformity from getting worse.
When the high arch foot has hindered the load-bearing walking, wearing shoes, or progressive aggravation, surgery should be performed. Surgical methods can be divided into soft tissue release and bone surgery. Generally, the surgical method is selected according to the patient's age, deformity type and severity, primary disease state and other factors. In principle, soft tissue surgery should be performed first, such as plantar soft tissue release, anterior tibial tendon transfer and extensor digitorum longus receding. If soft tissue surgery still can't correct the deformity, or older children have fixed high arch foot deformity, you can choose orthopedic surgery.
Soft tissue release of sole is a traditional method. The plantar soft tissue is exposed through the posterior longitudinal incision of the inner edge of the foot. First, the plantar fascia and plantar long ligament were cut off, and then the flexor brevis, flexor digitorum brevis and flexor digitorum minimi were peeled off from the calcaneus and pushed to the distal end. If complete release is needed, the bifurcated ligament can be cut off, the plantar part of the first to third tarsal joint capsule can be cut off, and the fibers of the expanded part of the posterior tibial tendon, namely the metatarsal bone and the cuneiform bone, can be cut off. After operation, it was fixed with a series of orthopedic plaster for 8 weeks.
Orthopedic surgery includes the first wedge-shaped open osteotomy, dorsal wedge-shaped osteotomy of tarsus, V-shaped osteotomy and calcaneus osteotomy. V-shaped osteotomy of tarsal bone in dorsum of foot has many advantages. It does not damage the epiphysis, so it is suitable for children over 6 years old. Without shortening the foot, it can correct the adduction and pronation deformity of the forefoot. The key points of the operation are as follows: (1) take a transverse incision or a longitudinal incision on the dorsum of the foot to expose the external tarsal bone of the periosteum; ② Design a V-shaped osteotomy line at the apex of the arch, which is generally located in the center of the scaphoid, and its medial branch inclines from the scaphoid to the medial cortex of the first cuneiform bone. ③ After the osteotomy, the operator pulls the forefoot to the distal end, lifts the forefoot, and presses the distal end of the osteotomy at the same time. If there are pronation and adduction deformities, pronation and abduction of forefoot can be corrected in advance. Then it was penetrated from the inside of the first metatarsal with a Kirschner wire and stopped at the outside of the calcaneus through the osteotomy line. After operation, it was fixed with leg plaster for six weeks. After the plaster was removed and fixed, the Kirschner wire was taken out and X-ray film was taken to observe the osteotomy healing. If you have recovered, you can gradually start walking with weight.
I hope you will go to the hospital for examination as soon as possible, and I wish you a speedy recovery. You must be able to walk ... God bless you ... Hehe ... Smile at life, and when God closes a door, he will definitely open a window for you ... Finally, I wish you find the other half who can take care of you as soon as possible. ...
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