A fresh concept and a non-bone-breaking alternative

the syndesmosis procedure, to the popular bone-breaking surgeries

“Syndesmosis” is a normal anatomical structure in human body to connect and stabilize two parallel long bones. Syndesmosis procedure was designed to reproduce this connecting structure. The syndesmosis concept has been evolved from the understanding that the true cause of bunion deformity lies in the malfunctioning of the ligaments rather than any real bone deformities. If bones are normal, then no bones should ever need to be broken unless absolutely necessary. The non-bone-breaking syndesmosis procedure aims to re-align and then also re-stabilize the displaced but normal bones of the bunion foot. It can do so by tying the displaced and loose first metatarsal bone to the adjacent second metatarsal bone and then also by creating a syndesmosis fibrous bridge to connect and stabilize it to the second metatarsal bone also to prevent deformity recurrence.

 

 

Reference: 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.

Many people talk about bunion surgery being painful and a long recovery, is this true?

1. Many people talk about bunion surgery being painful and a long recovery, is this true?

Yes, it is the case after certain types of bone-breaking surgery. Since Dr. Wu's syndesmosis procedure does not need to break any bones, its pain is usually much less and for 1-2 days only. Its recovery period is much less incapacitating.


2. Can both feet be corrected at same time?

Yes, this is usually the preference by patients with bilateral bunion condition.


3. Are there any artificial implant such as screws and pins used?

No, the only foreign material used is the ordinary surgical sutures and they are dissolvable.


4. What are the possible complications?

Complications are possible but a lot fewer and milder in comparison to the "break-n-shift" surgeries. The possible complications are numbness around the wound (on top of great toe), wound infection, over-correction, early partial recurrence and stress fracture due to excessive walking and separation between second and third metatarsals. There has been no known late recurrence or transfer metatarsalgia.


5. Do medical insurances cover bunion surgeries?

Yes, they do because bunion surgery is considered necessary for pain relief and function improvement of the foot. But it is always advisable to get written approval from your insurance company ahead of surgery.

 

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.

PRP點只美容咁簡單!

治拇趾外翻 提升康復效果

近年﹐美容界掀起一遍注射PRP熱潮﹐令容貌回復年輕。究竟PRP為何如此神奇? 其實﹐PRP是血小板含量豐富的血漿 (Platelet Rich Plasma) 的簡稱﹐最初是醫學界採用促進術後傷口止血及癒合; 後來美容界以此加速皮膚細胞的新陳代謝及更新﹐達至去紋去皺﹑改善鬆弛等效果。最近﹐拇趾外翻創新手術中心吳彥醫生更率先操用PRP技術配合其研創的「韌帶聯合術」為拇趾外翻患者進行治療﹐令病人的康復效果更加理想。

PRP新用途 治拇趾外翻

人體血液內的血小板含有多種生長因子﹐能促進細胞再生﹐加速傷口癒合。醫學界基於此原理﹐從患者身上抽取血液﹐利用儀器經分層離心方法分離出高濃度的血小板﹐用回患者身上以提升傷口自然癒合的能力。最初PRP是用於植牙手術﹐其後廣泛應用於皮膚科﹑骨科等醫學範疇上; 迎年更在醫學美容及整型的領域上普遍應用。吳彥醫生自去年起率先將PRP技術配合「韌帶聯合術」治療拇趾外翻﹐經臨床覲察﹐發現有效提升患者的康復效果。

非截骨手術 回復足部功能

「韌帶聯合術」是由吳醫生研創﹐能根治拇指外翻﹐恢復足部正常功能的非截骨手術﹐吳醫生指出:「拇 趾外翻的成因是前足第一與第二蹠骨之間的韌帶鬆弛﹐第一蹠骨逐步外歪﹐引致腳趾變形歪斜。傳統治療方法是將傾斜的第一蹠骨截斷。拉直後以螺絲固定。而「韌 帶聯合術」則針對刃韌帶鬆弛的問題﹐通過身體的結構組織自行增新韌帶來固定外翻的第一蹠骨。令足部恢復正常外觀和功能; 不僅創傷小﹐亦不會破壞足部結構。在過去十六年的四百多宗病例中﹐逾九成個案回復足部功能﹐可以跑步﹐跳舞﹑爬山﹐甚至穿週踭鞋。

配合PRP技術 不排斥﹑效果佳

吳醫生續稱:「PRP有肋細胞的復原和再生﹐以此配合『韌帶聯合術』﹐能加速患者韌帶自行增新的能力; 加上PRP是抽取自患者自身的血液﹐故不會有排斥反應﹐安全性極高。應用了此技術超過六個月﹐雖然目前未有詳細的研究數據﹐但經臨床觀察﹐患者的康復速度更快﹐而新生的韌帶亦更堅韌。最明顯是手術後的疤痕紅印以往要大約六個月才減退﹐現在則縮至兩﹑三個月﹐效果令人滿意。」

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。

拇趾外翻手術數據

 

過去廿年來，超過1000個不同程度的個案中，吳醫生皆以非截骨手術方式來矯正，在最近800個個案有完整手術前後X-光照片電子及足部功能掃瞄記錄 (F-scan®)。超過80% 個案可恢復拇趾正常功能，而外觀結果皆以照片形式存檔。功能恢復的臨床效果可從患者術後的正常如跑步、跳舞和穿高跟鞋等活動證明出來。另一方面，功能得到 回復的表現也可從患者術後足繭或痛楚消失中顯示出來。為了把患者的足部功能回復結果客觀地記錄下來，所有本地患者必須作手術前後的功能掃瞄測試 (F-Scan®) 達兩年之久。

正常腳
因為大拇趾承擔8 0%足部向前推動的動力，所 以拇趾在 F-Scan® 的測試中應顯示最大的壓力
(紅色)










拇趾外翻腳 
在拇趾外翻的情況下，拇趾功能受到影響，在 測試中會顯示出低壓力(藍色)，而受力的位置 卻向外轉移至前腳掌底部中間位置 (亦是這部 位常有足繭或痛楚的原因)






參考資料: http://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。

電腦足部功能掃瞄

足部功能測試

足部的拇趾是行動時協助推動我們身體向前的主要部位，外翻後的拇趾會失去其正常功能而導致行走時著力點發生偏移。有效的矯正手術應能恢復拇趾的正常功能。


為求有更准確和客觀的記錄，拇趾外翻非截骨手術中心設置了最先進的電腦足部功能掃瞄系統F-Scan® ( http://www.tekscan.com/medical/system-fscan1.html )，該系統是一種專門用作測試足部功能的儀器。通過該系統的有效測試，可將測試者的足下壓力及用力情況轉換為彩色照片、圖解及資料的電腦系統，用於臨床手 術前後的相關診斷參考, 並用作鑒定手術成效的標准。


從2003年起，吳醫生的突破性拇趾外翻手術，經電腦足部功能掃瞄系統F-Scan®的輔助診斷下，在超過800個連續個案當中，顯示有90% 以上個案可恢復足部正常功能。


在2012年，香港理工大學更是通過電腦足部功能掃描系統F-Scan®來證實，吳醫生的非截骨手術（韌帶聯合術）能夠有效及一致性地幫助患者使其恢復正常的足部功能。






 

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。