Valgus deformity of the tibia

Valgus deformity of the tibia is characterized by a X-shaped legs, which are the result of the weakening of the muscles, ligaments. A violation can be the root cause of the diseases of the spine, failure of the internal systems and organs.

valgus deformity of the tibia

The characteristics of the development of hallux valgus

Valgus deformity of the tibia in children can be congenital and acquired pathology. The main changes that occur in the knee of the child, visually, you'll notice overextension of the leg and the deviation heels outwards.

The main reasons for the curvature of the feet and lower legs in children:

  • Genetic function;
  • Irregularities in the tibia;
  • Violation of the integrity of bone and cartilage;
  • Improper absorption of useful elements;
  • Inflammatory or infectious processes;
  • Severe damage to the extremities;
  • Childhood rickets;
  • Unwanted body weight.

Under such conditions small congenital deformities in children may worsen, increasing the depth of the arc of curvature. Then pathological processes in the joints of the knees and pelvis.

Deformity of the knee – the presence of a gap of more than 5.5 cm between the inner side of the leg. A congenital anomaly in children is rarely diagnosed, often due to inadequate fetal development of the hip, foot and Shin.

A common cause of hallux valgus of the lower limbs, is a natural instinct, is forcing to spread her legs in an attempt to maintain balance. Those that are not vitiatam deviation can fade for 8-10 years of a child's life.

Disease in childhood, occurs because of the increased load on the foot, portum already at the beginning, hikers, accelerated the process of walking the child, due to the inherited weaknesses and underdevelopment in the bond.

Symptoms

Hallux valgus of the tibia in children are not only a cosmetic error, but significantly reduce the quality of life. With the development of the disease the person, that it is difficult to move, the gait is clumsy, as it is equipped with the following symptoms:

  • Persistent aching sensations in the limbs;
  • The impairment of blood flow – cyanosis of the skin, the appearance of varicose veins;
  • Fatigue in the movement process;
  • Swelling of the calf muscles;
  • Shuffling feet while walking.
valgus deformity of the tibia treatment

Due to incorrect load of the joints in children are gradually destroyed. If time will not of therapeutic measures to eliminate the disease, the patient loses the ability to move.

Photo by valgus deformity of the tibia looks like X in the form of the curve, when it is impossible to reduce the knees. There is an apparent offset of the axis of the limbs and the distance between the inner ankles, which is more than 5 cm

The extent of the violation

In the early stages of the disease, tolerance to the tibia externally does not exceed 10-15 degrees, the other – of more than 15-20 degrees. In severe curvature of the diagnosis deviation to 20 degrees and more.

The treatment of the pathology

After review by the podiatrist, which carry out x-ray the leg in two projections of the diagnosis of the disease. To identify the causes of tension, you may need an ultrasound, blood test, check the operation of the kidney.

The principles of treatment of valgus deformity of the tibia in children and adults:

  • To eliminate the painful symptoms are certain to orthopedic events – apply corr., on, on down the tyres, orthopedic shoes. It is important that the back was elastic and hardwearing, the heel of not less than 5 mm, a wide toe box, a personal stake;
  • To stabilize the joint and strengthening the muscles of the corset the child requires therapeutic massage – at least 20 sessions in a month, the intensity of the impact on the damaged zone increases gradually, using techniques stroking, rubbing, vibration, tapping, massaging the pizzicato movement;
  • Physiotherapeutic the effect of stimulation of the plantar muscles, improves blood circulation, is supported by the physiological position of the feet in motion;
  • Therapeutic exercises – number of exercises, and regularity is set by the doctor. When valgus deformity of the feet and ankles in children, which is carried out flexion and extension of the ankles, rotate your feet at the time, to seize and hold the toes of small items, squat on his haunches, walking on the vernal side of the foot.

In more extreme cases, when correcting the pathology of the conservative methods fail, surgery will be scheduled – osteotomy. In the removed part of the femur, other parts of the cut. Used after compression-distraction osteosynthesis: set the apparatus Elizarova, to form the correct angle between the bones of the foot and lower leg.

After surgery, 2-3 days of cooling and analgesia of the operated leg to walk, the patient is allocated a specific Walker, and later crutches.

Complications after surgery are rare – it may be bleeding due to the cuts the blood vessels, the accession of secondary infection, severe pain when walking.

With the operation, it is possible to obtain an excellent result, although perhaps a recurrence of the disease in the absence of the implementation of preventive measures, excessive load on the lower limbs.

Surgery in childhood and adolescence, is not normally used, most commonly, however, showed that elderly, when the curvature of the tibia accompanied by inflammatory processes, a lot of swelling, incoordination.

Prevention

Or it is possible to prevent valgus deformity of the tibia? To make the legs of the child physiologically correct development it is important to saturate the diet of the baby useful nutrients, extra vitamin D to avoid rickets.

The first baby steps to purchase quality shoes, to prevent excessive load on the femur and tibia at the age of 7 months. It is useful to do relaxing foot massages, thermal baths with the addition of pine extract, decoction of medicinal plants.

The positive effect of the installation of the legs:

valgus deformity of the tibia exercises
  • Swimming;
  • Cycling;
  • Skiing, skateboarding;
  • The game of football;
  • Walking down the stairs, on the wall.

In good weather it is useful to walk barefoot on grass, sand, gravel, dirt road. It is important to avoid hypothermia or overheating of the limbs, so as not to aggravate the disease.

At the slightest sign of curvature, it is important to seek help of a physician – self-treatment can lead to disability and death (the development of thrombophlebitis, the curvature of the spine, disruption of the internal systems and organs).

Timely treatment of hallux valgus of the lower limbs allows you to avoid surgery, eliminate fatigue, trauma to the legs, problems with the locomotor apparatus.

14.09.2018