2013年11月25日 星期一

The Center for Dr. Wu's Bunion Surgery




 
 
 The Center for Dr. Wu's Bunion Surgery is dedicated exclusively to the treatment, research and education of the bunion condition and to the development of non-bone-breaking bunion surgery.
 
Foot is more for function than for show. The ultimate goal of bunion surgery should always be function restoration so that foot can return to normal activities and shoes without restrictions and recurrence. Foot function can only be meaningfully assessed by computerized function scan study. To demonstrate objectively and ensure that Dr. Wu’s non-bone-breaking bunion surgery can restore normal function of bunion feet, our center has been conducting force function study of every foot with F-Scan® by TekScan before and after surgery since 2005. Bunion surgery to us is not only for cosmetic correction but even more importantly for function improvement.
 
To ensure consistent x-ray assessment of each foot for before and after surgery comparison and for research purpose, the center is also equipped with state-of-the-art foot-specific competerized digital x-ray machine.



Our center has its own foot-lab to provide custom-made foot orthotics and also a wide range size of ready-made orthotics specifically designed for protecting bunion feet.
 
 
 
Reference information: www.bunioncenter.com
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your Orthopedist for diagnosis and treatment.

2013年11月18日 星期一

Foot for Thought (2)




 




Since females are known to dominate bunion condition over males by the ration of 9:1 and if high heels are not at fault then what is responsible for the gender-related propensity?


To understand the reason, it is necessary to recognize that the bunion condition is caused by over-flexibility of ligaments. What makes female more flexible and even to the point of dislocating their pubic symphysis during pregnancies are female hormones, not high heels.
? A Question to Ponder

Q: If high heels play only a small role in bunion debacles, can they still be worn after surgery with impunity?

A: Unfortunately, the answer may not be quite so simple.
According to websites of American Academy of Orthopedic Surgeons and the British Orthopaedic Association, both advise that patients will have some shoe and activity restrictions after current surgical techniques.
However, not all bunion surgeries are created equal and it is self-explanation by simple x-ray illustration below to compare traditional ‘bone-breaking’ procedures (>95% of all bunion surgeries done around the world) and the minimal-traumatic ‘non-bone-breaking’ syndesmosis procedure which carries no activity or shoe restrictions after surgery.
BY Dr. Daniel WU
Specialist in Orthopaedics 







Reference: Pulse - Medical News
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your Orthopedist for diagnosis and treatment.

2013年11月13日 星期三

Foot for Thought (1)

 




Everyone would probably agree that feet are mainly functional rather than ornamental. Despite the extreme strains put on our feet in vross-country running and ballet dancing, these common activities are neither medically inadvisable nor proven damaging to our feet.

 
But, why are the devilishly beautiful high-heel shoes always painted as evil instruments for feet? Admittedly, they can be uncomfortable, tiring, bad for knees and back but do they really cause bunion deformities?
After having seen a great number of bunion feet (both women’s and men’s) that are not caused by wearing high-heel shoes, in cooperation with the HK Baptist University, a 2008 survey of over one thousand Chinese women was finally conducted to explore the prevalence and common causes of bunion deformity in Hong Kong.
The findings were 36.5% of surveyed had varying degrees of bunion deformity which was in line with international incidences of 33-50%. Within our bunion sub-group, 88% gave a positive family history and 83% denied much taste for high-heels. Further analysis revealed 74% of bunions were linked to family history alone and only 3% to high heels. In other words, family history could be 25 times as important as high heels in association to bunion development. (“Does Wearing High Heeled Shoes Cause Hallux Valgus? A survey on Chinese Females”, a scientific paper based on our findings has been accepted for publication in Foot and Ankle Online Journal.)

 
BY Dr. Daniel WU
Specialist in Orthopaedics





Reference: Pulse - Medical News
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your Orthopedist for diagnosis and treatment.

2013年11月5日 星期二

拇趾外翻治療-拇趾外翻手術,拇趾外翻矯正

治療的真實情形

a. 對減輕拇趾外翻的痛楚而言,最實際和有效的方法是穿著較舒適及寬鬆的鞋子。
b. 不幸地,到目前為止,暫時未有經證實的方式能阻止拇趾外翻持續惡化的問題。
c. 拇趾外翻問題必須以手術才能矯正。

非手術治療方法

暫時未證據顯示非手術的方法能有效地修正及穩固鬆弛和偏離的第一蹠骨,較為實際的非手術方法是以較平、寛鬆和舒適的鞋子來減輕拇趾外翻的痛楚;消炎 止痛藥能幫助舒緩痛楚,但效果只是暫時。物理治療有機會防止或恢復部份拇趾功能,但不能矯正問題。一些拇趾拉直的工具(如拇趾分離膠或拇趾外翻足托)或可 處理輕微的病症,但會讓嚴重患者更感不適,並且效果未經證實。特別設計的拇趾外翻專用鞋墊能減輕足繭和蹠骨痛楚,或能阻延第一蹠骨繼續偏移開去。



拇趾分離膠拇趾外翻專用鞋墊


手術治療

一直以來,已發展超過150種不同的拇趾外翻手術方式,全球現今流行的方法亦有20種多種。眾多不同的方式可能是由於直到目前為止,仍未有一種最理想的手術方式被醫生一致公認。

拇趾外翻治療的目標

拇趾外翻的最終目標應該是幫助拇趾恢復正常功能、解除患者痛楚及處理因拇趾外翻而引發的連串問題。

傳統拇趾外翻手術: 截骨移位術

相信所有外科醫生都明白拇趾外翻主要是源於正常的第一蹠骨偏移而引起。要矯正這問題,最常見的方法是採用多種不同的截骨移位術。而選擇方式要視乎不同的嚴重程度及醫生的建議而作決定。


 Osteotomy Procedure



參考資料: www.bunioncenter.com/
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的骨科醫生查詢,而不應單倚賴以上提供的資料。

2013年11月1日 星期五

嚴重拇趾外翻案例- 拇趾外翻手術, 拇趾外翻矯正


嚴重拇趾外翻案例 A
嚴重拇趾外翻情況 (#1200):一直以來,當面對不同程度的拇趾外翻問題,需要以不同的截骨手術方式來處理,吳醫生韌帶聯合術由輕微至嚴重個案均可矯正及回復患者功能。

手術前

48嵗,女士,患嚴重拇趾外翻

手術後

手術後一年半,前足收窄


嚴重拇趾外翻案例 B
手術前手術後


嚴重拇趾外翻案例 C
手術前手術後


嚴重拇趾外翻案例 D

手術前手術後


嚴重拇趾外翻案例 E

手術前手術後



參考資料www.bunioncenter.com/

以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的骨科醫生查詢,而不應單倚賴以上提供的資料。