Foot deformities

From the moment we take the first step, some deformities may occur in our feet, which carry the entire weight of the body throughout our lives, under the influence of certain factors.

HALLUKS VALGUS

It is also known as the thumb bone protrusion among the people. It is a very common condition in women. Shoe selection plays an important role. Pointed-toed shoes with tower heels, which young girls and adult women wear for the sake of looking beautiful, or even forcibly put their feet into it, accelerate the situation in women who are predisposed to Hallux Valgus. This deformity is much less common in societies that do not wear shoes. Pointed, high-heeled shoes and cowboy boots are the main ones to blame.

The fact that it is seen more frequently in women is attributed to the fact that they often prefer high-heeled shoes, and structural looseness in their ligaments is shown as the reason. In addition, as with many diseases, there is a genetic predisposition to it. People with a family history of Hallux Valgus are much more likely to have this condition than those who do not. Inheritance from mother is common.

DEFORMITY CORRECTED BY SURGERY

If hallux valgus is not taken or treated in time, the thumb may slip under the second toe and serious calluses may occur on the back of the second toe that protrudes above the thumb due to constant shoe pressure. Calluses can also be seen on the soles of the feet, whose biomechanics are completely changed. The most common cause of deformity and pain in the second finger is actually this change in the first finger.

Therefore, in order to correct the second finger deformity, it is absolutely necessary to correct the first finger. Shoe modification applied in the initial period of Hallux Valgus is the most effective protection method. Progression of the deformity can be prevented to a great extent by wearing comfortable shoes with wide scallops, soft leather and heels not exceeding 3-4 cm. Orthoses such as night splints, insoles, and cleats can never correct the deformity.

Correction of the deformity is possible only with surgery. After the foot examination, the orthopedist examines the patient’s standing radiography and makes the necessary measurements on the graphy, and then decides on the operation. It is necessary to pay attention to these principles so that the deformity does not recur.

FLATSOLE

Flatfoot that exists since childhood and flatfoot that develops from the age of 30, called “adult type”, should be evaluated in two groups. In both, the foot deforms over time. This is a progressive condition and the rate of progression varies from person to person, depending on use and genetic makeup. In advanced deformities, the person cannot stand on one toe on that foot or has difficulty getting up. While the pain is on the middle-inner side of the foot at first, pain occurs on the outside of the foot in the following periods.

THE TREATMENT IS DONE ACCORDING TO THE DEGREE OF FLATfoot

Treatment is based on the degree of flat feet. Insoles can be used in the initial phase. After this phase passes and deformity begins to occur in the foot, insoles do not help much. Flat feet with pain and past the initial stage should be surgically corrected. If the surgery is performed on time, it is possible to correct flat feet without fixing the joints, but in delayed cases, the only solution is to fix (freeze) the joints. Flatfoot surgery provides patients with a better quality of life.

REASONS CAUSED TO FLAT FOOTWEAR IN ADULTS

1-Overweight

2-Past and poorly treated old foot and heel fractures

3-Bad use: Inappropriate shoes, excessive force, traumas

4- Rheumatological diseases

5-Diabetes

CMT

CMT is a neurological (nerve tissue origin) and genetic disease that causes muscle imbalance in the foot. In childhood, deformity begins to develop gradually. The child may fall frequently while walking. As age progresses, the deformity also progresses and becomes more rigid. Contrary to flat feet, the inner arch of the foot is deepened and the heel has slipped inward. In advanced cases, there is also deformation in the fingers. If it is diagnosed and operated at an early age, the success rate is very high. Successful surgeries can now be performed in advanced cases.

rheumatoid arthritis

Foot involvement and related foot deformities are very common in rheumatoid arthritis. Deformations can be successfully corrected with bone surgeries, and even ankle prosthesis can be applied in appropriate cases in ankle problems. If the operations are performed before the deformation and disease progress too much, they give better results. Surgical intervention is performed according to the affected parts of the foot and/or ankle. Fingers and ankle joints are most commonly involved.

DEFORMATIONS DUE TO OLD FRACTURES

The most common are old heel fractures. Generally, they occur as a result of not operating the fractures that need to be operated or being operated incorrectly. It is usually possible to obtain a painless, flat foot with surgery. In addition, foot deformations may occur over time after untreated midfoot fractures. These can also be corrected with surgery. Again, untreated ankle injuries can also lead to ankle deformities over time.

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