2017年5月24日 星期三

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.

2017年5月10日 星期三

拇趾外翻手術的疑問




1. 據說拇趾外翻手術康復過程很痛及復原期長,是否屬實?

是!但通常適用於截骨手術。因吳醫生的韌帶聯合術不須截骨,痛楚較輕及較早通常在手術1-2天後便消失,復原過程也較少不便。

 
2. 可否雙腳一起進行手術? 
 
可以!這亦是大部份雙足患者的普遍選擇。

 
3. 手術是否需要移植人工物料? 
 
不用,為一外來物料只是一些可溶性的縫線。

 
4. 有什麼可能的併發症? 
 
可能會出現併發症,但與截骨手術相比,併發症出現機會較低和較輕微。最常見的併發症是於手術附近的拇趾表面的有輕微麻痺,傷口感染、過度矯正、第二及第三蹠骨分離和因患者術後初期過度步行而導致的復發和趾骨勞損等問題,但此類併發症出現的機率約為5%。



 
5. 醫療保險是否保障拇趾外翻手術? 
 
保險是保障的。因拇趾外翻手術主要是針對治療足部痛楚和功能恢復,外觀亦會跟隨著功能性手術而得以改善。但仍建議先與保險公司查詢為準。

 
6. 如有需要,手術可否重複再做? 
 
有別於一般截骨手術,韌帶聯合術不會破壞足部正常結構,如有需要,可以再次施行韌帶聯合術,患者亦不會有嚴重的影響。

 
7. 手術過程需時多久?
 
約1小時。 

8. 手術可否局部麻醉下進行? 

 
可以!


 
 
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。