具數據證實的拇趾外翻手術

過去廿年來，超過1000個不同程度的個案中，吳醫生皆以非截手術方式來矯正，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:  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。

Foot: Natures Most Complex Creation

Every day we subject our feet to more physical stresses than any other parts of our body. From daily walking to recreational sports, let alone other extreme activities, our feet are expected to last a lifetime of repeated pounding against the ground and maneuvering all types of terrain. It has to be one of the most complex structures and engineering wonders. A normal foot is made up of 26 specifically shaped bones, versus only four in the leg from hip to ankle. These many bones are connected and moved by more than 100 ligaments, muscles and tendons. Any slight deviation from normal, such as an extra bone (accessory navicula), fused bones (tarsal coalition) or a flat or high arched foot, may render foot function limitations and problems.

Similarly, any surgical alteration of foot structures unnecessarily from the normal form can only risk normal function of the foot. This basic surgical principle is especially true in the correction of bunion deformity.

Therefore, it is essential to understand the true underlying pathology of bunion deformity before an optimal surgical correction, cosmetically and functionally, can be realized.






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.

A pertinent analogy: Leaning Tower of Pisa

Bunion deformity is fundamentally formed by the loosened first metatarsal bone that has lost its ligamentous support and thus tilts abnormally to one side.

This scenario is not unlike the Leaning Tower of Pisa which has also lost its external support of a weak foundation. Both first metatarsal bone and the Tower are basically unchanged and normal in shape by themselves.

To upright the Tower by the "break-n-shift" concept as in traditional bone-breaking bunion (hallux vaglus) surgery would not only induce unnecessary damages to the normal and innocent Tower itself, but also fail to address its underlying issue of a weak foundation.

Similarly, the normal and innocent first metatarsal would also be damaged of its function and not stabilized against future recurrence of tilting.

 

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.