Valgus deformity of the tibia

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

valgus deformity of the tibia

Features of the development of hallux valgus

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

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

  • Genetic feature;
  • Abnormality of the tibia;
  • The violation of the integrity of bone and cartilage;
  • Improper absorption of useful elements;
  • Inflammatory or infectious processes;
  • Severe trauma to the extremities;
  • Childhood rickets;
  • The excess body weight.

Under such conditions minor congenital deformities in children are capable to worsen, increasing the depth of the arc curvature. Subsequently the pathological processes in the joints of the knee and pelvis.

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

Common cause of hallux valgus of the lower limbs is a natural instinct, forcing to spread her legs in an attempt to maintain the balance. Such non vitiatam deviation able to fade for 8-10 years of a child's life.

Disease in childhood occurs due to the increased load on the foot, portum early on walkers, accelerated the process of walking the baby, because of inherited weaknesses and the underdevelopment of the ligaments.

Symptoms

Hallux valgus of the tibia in children are not only cosmetic defect, but significantly reduce the quality of life. With the development of the disease the person is difficult to move, the gait is clumsy, as is accompanied by 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 motion process;
  • Swelling of calf muscles;
  • Shuffling feet while walking.
valgus deformity of the tibia treatment

Due to improper loading of the joints in children are gradually destroyed. If time does not take therapeutic measures to eliminate the disease, the patient will lose the ability to move.

Photo valgus deformity of the tibia looks like X-shaped curvature when it is impossible to reduce the knees. There is an apparent offset of the axes of the limbs and the distance between the inner ankles is greater than 5 cm

Extent of the violation

In the early stages of the disease, a deviation to the tibia outwards not exceed 10-15 degrees, the second – more than 15-20 degrees. In severe curvature of the diagnosed deviation to 20 degrees and more.

Treatment of pathology

After examination by a podiatrist, carrying out x-ray of the legs in two projections of the diagnosed disease. To identify the causes of strain you may need an ultrasound examination, blood test, checking the work of the kidneys.

Principles of treatment of valgus deformity of the tibia in children and adults:

  • To eliminate the painful symptoms are assigned to orthopedic events – uses corrigendum laying, fixing tires, orthopedic shoes. It is important that the back was elastic and resistant, heel not less than 5 mm, a wide toe box, personalized insole;
  • To stabilize the joint and strengthen the muscle corset of the child required 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 movements;
  • Physiotherapeutic effect – stimulation of the plantar muscles, improves blood circulation, is supported by the physiological position of the feet while moving;
  • Therapeutic exercises – number of exercises, and regularity is established by the doctor. When valgus deformity of the feet and ankles in children practiced the flexion and extension of the ankles, rotate your feet at a time, to seize and hold the toes of small items, squat on his haunches, walking on the vernal side of the foot.

In advanced cases, when correcting the pathology of the conservative methods fail, surgery will be scheduled – osteotomy. The removed part of the femur, other parts spliced. 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 is cooling and analgesia of the operated leg to walk, the patient is assigned a special Walker, and later crutches.

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

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

Surgery in childhood and adolescence is not usually used, most often it is shown to the elderly, when the curvature of the tibia accompanied by inflammatory processes, abundant swelling, incoordination.

Prevention

Is it 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, give extra vitamin D to avoid rickets.

At the first baby steps to purchase quality shoes, to avoid excessive load on the femur and tibia at the age of 7 months. It is beneficial to do a relaxing foot massage, thermal baths with the addition of pine extract, decoction of medicinal plants.

A positive effect on the installation of legs:

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

In the warm season is useful to walk barefoot on grass, gravel, sand, 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 to the doctor – self-treatment can lead to disability and death (the development of thrombophlebitis, 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, injury of the feet, problems with the locomotor apparatus.

14.09.2018