拇趾外翻原因, 拇趾外翻治療, 拇趾外翻手術

2015年3月17日星期二

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。

2015年3月11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.

2015年3月3日星期二

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.

2015年2月25日星期三

Ms. WL Cheung -術後心聲

Ms. WL Cheung

在2007年，因護士工作的關係，在診所內認識到一位患上拇趾外翻手術後康復中的病人，在她的介紹下認識到吳彥醫生。本人一直以來，被扁平足及拇趾外翻所困擾，尤其是後者，不單因穿鞋帶來很大的不便，更甚是源於拇趾外翻所引起的痛楚，由拇趾一直影響到腰部。

手術後康復期間如預期中一樣，痛楚程度輕微，就算需要穿上足托及盡量減少步行，但亦只帶來有點兒不便，當想起以往的痛楚和日後的好處，這三個月的些微不便亦覺值得的。

現在已手術後6個月了，手術前的痛楚已消失，因要重新適應新步行姿勢，只是仍有點兒未習慣。但真很感激吳醫生的手術讓我能擺脫多年拇趾外翻的困擾，在吳醫生的鼓勵下，或可嘗試穿高跟一點的鞋吧!

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。

2015年2月16日星期一

Advantages of Non-Bone-Breaking bunion surgery

1. Minimal trauma, less pain, fewer complications and earlier mobility.

2. Both feet can be done together to avoid the inconveniences of a second surgery.

3. It is suitable and effective for almost all bunions, mild or severe.

4. The same procedure can be repeated, if necessary, without minimal compromises.

5. Recurrence rate is very low due to the specific stabilizing ligament that is structured into the correction.

6.Unprecedented function results by effective re-alignment and re-stabilization of the first metatarsal bone without having to break it.

7. Truly restriction-free for shoes and activities after six months.

Reference information: www.bunioncenter.com

2015年2月10日星期二

無截骨手術矯正拇趾外翻

骨科專科醫生吳彥約於30年前，將非截骨韌帶聯合術引入香港，手術用線將變形的第一蹠骨綁在旁邊的第二蹠骨上，並引發身體自動長出韌帶般的軟組織，固定蹠骨不再變形。

【大公報訊】記者張婕舒、實習記者呂昕嶼報道：矯正拇趾外翻不一定要截骨，香港理工大學研究發現，病人接受非截骨韌帶聯合手術兩年後，拇趾承受力、推動力均有改善。兩年前接受手術的藝人鄧麗欣（Stephy）稱，術後半年就可穿6吋高跟鞋行街、跳舞，做任何運動都沒有問題。

本港三分一成年女性患有拇趾外翻，90%矯正手術是截骨手術，術後有移位及併發症風險。骨科專科醫生吳彥約於30年前，將非截骨韌帶聯合術引入香港，手術用線將變形的第一蹠骨綁在旁邊的第二蹠骨上，並引發身體自動長出韌帶般的軟組織，固定蹠骨不再變形。

香港理工大學生物醫學工程跨領域學部去年追蹤27名曾接受非截骨手術的患者，發現術後兩年，患者拇趾受力峰值平均由20.57%升至35.2%，第二及第三蹠骨受力峰值則由43.97%降至34.15%。負責研究的理大副教授梁錦倫表示，數據表明患者拇趾痛楚減輕，步行時可更多?力在從前的患處。

藝人術後半年可跳舞

藝人鄧麗欣（Stephy）曾經飽受拇趾外翻的折磨，穿高跟鞋登台時「經常痛到想喊」，但因害怕截骨手術，遲遲沒有治療，直至2012年8月接受非截骨手術。她昨日稱，術後2、3個月已可穿「健康鞋」回歸舞台，半年後更是「穿高跟鞋行街、跳舞都唔會痛，做任何運動都沒有問題」。非截骨手術成功率可達90%，術後康復快，且可避免併發症及蹠骨移位，手術費用60000至70000元。