Surgical curvature correction by

Today it is difficult to find a person completely satisfied with his
kicks. Like the perfect nose shape, perfect legs are given
units, and it brings a lot of frustration, not only to women, but
and men. Particularly annoying crooked legs. People are willing to accept
even with short, but not with brackets-like legs, and
agree to move for the sake of correcting their curvature even difficult
costly surgery. Is surgery always justified?
straightening legs?

For the operation to straighten the legs need serious
the grounds

Content

• Leg straightening – how it happens
• Types of leg curvature: false and true curvature
• How to avoid orthopedic surgery
• Types of leg adjustment operations
• Correction of the shape of the legs on the Ilizarov apparatus

Leg straightening – how it happens

The indications for the correction of the legs are:

• bone dysplasias of the legs;
• shortening of limbs after injury;
• pronounced valgus or varus deformities;
• flatfoot with valgus deformity of the foot.

Medical operation to correct the curvature of the limbs
prescribed to prevent the development of osteoarthritis of the knee,
ankle and foot joints and preservation of motor functions
in future.

In other cases, orthopedics associated with the correction of the shape of the legs,
should be considered as cosmetic.

Before you decide on an operation, you need to determine
whether the legs are so crooked that there is no other way out
operational.

Types of leg curvature: false and true curvature

To determine the type of curvature, conduct a simple test:

Different types of leg curvature

• Stand in front of the mirror, straightening your legs and joining together.
  knees and heels of feet, slightly spreading out socks.
• Ideally, the inside of the knees, calves, and heels should
  without effort to touch, and between them should not remain
  gaps.
• If the knees do not close when the feet are joined together, and between
  legs form an internal fusiform contour, then this
  O-shaped or varus deformity.
• If, on the contrary, the feet do not close when the knees are joined,
  the outer contour of the legs resembles the letter X, then it is a valgus
  deformation.
• Leg curvature caused by impaired bone alignment
  called true.
• There is such a thing as a false curvature: legs look
  curves not due to misalignment of the femoral and tibial
  bones, and due to soft tissue defects of the lower leg:
  • poorly developed muscles;
  • atypical attachment of the calf muscle:

The most favorable position of the muscle is closer to the inner
the surface of the lower leg. Outdoor layout creates a visual effect.
curvature.

How to avoid orthopedic surgery

In most cases, the curvature of the legs, even with weak and moderate
leg deformities can be eliminated or significantly reduced by
exercise exercises for shins and hips:

• daily running;
• heel-to-toe heel;
• squats;
• exercises on the exercise bike, etc.

You can also correct the shape of the leg and correct the curvature.
using kuroplastika – plastic surgery, in which
Soft tissue inserted silicone implant. Although it is very
expensive operation (from 80,000 to 200,000 rubles), it is much
less traumatic and requires a shorter period of rehabilitation.

It is possible to change the shape of the leg with the help of plastic
operations

For comparison: the cost of operating the feet correction on the device
Ilizarov – from 40 to 100 thousand rubles. More gentle way (and a little
less expensive) – lipofilling is pumping your own fat
patient in the shin from other parts of the body (cost – from 80 to 150
thousand roubles.).

Lipofilling is the transfer of fat into the lower leg from another
body parts

But this method is suitable with a slight curvature and
exclusively for those who have spare fat depots. And also:
a minor defect is best yet try to fix in
the gym than to resort to expensive and not giving a guarantee
way (fat – the category of streamlined and unreliable).

Visually reducing the curvature of the legs can be their correct
staging. Take a closer look at how you stand and walk:

• don’t turn your toes in,
• do not bend your knees, etc.

Types of leg adjustment operations

If the decision on the operation is still made, then you should choose
operation method. Today orthopedic surgery is performed
following methods:

• external fixation
• internal fixation
• combined ways.

When external fixation for a long time will have to go with
special adaptation on the legs – Ilizarov apparatus.

With this method of straightening on the legs for several months
the Ilizarov apparatus is worn

With internal fixation, a rod is inserted into the bone. Despite
the fact that the core method allows to reduce the time
correction, it is more traumatic, since it requires more
one operation to extract the rod. Combined method
apply in difficult cases when straightening and hips are necessary,
and shins.

Is rapid correction possible?

Going for an operation, be aware that no express methods, despite
on promises and assurances do not exist:

Correction of legs, as well as lengthening, is based on preliminary
bone excision and subsequent regeneration, and this is known
long process:

• The growth of one centimeter of bone tissue requires an average
  one month under favorable conditions, and for curvature correction
  sometimes scarring is necessary in 4 – 6 cm.
• After removing the outer apparatus or removing the rod should
  immobilization with the imposition of splints for up to four months.

Of course, all cases are individual, depending on the degree
Curvature and reposition methods:

• With angular correction, for example, an incomplete cut is possible
  bones, which reduces the time to repair the defect.
• Corrections involving the displacement of the bone or its distraction,
  and combinations of methods take a longer period of time.

Correction of leg shape on the Ilizarov apparatus

Mostly domestic orthopedists work on the device
Ilizarov, adapted to perform the following operations:

• limb lengthening;
• Correction of angular deformation;
• medialization;
• elimination of rotational displacement;

Sometimes another operation is performed on the Ilizarov apparatus –
correction of the position of the serving head of the fibula, but so
as it happens by the method of lengthening a limb, we will not
separately to allocate.

How is straightening legs

This is how the device is installed on the foot.

1. Through the drilled holes at the bottom and top of the leg are held
   knitting needles.
2. The spokes are firmly fixed with the rings of the apparatus.
3. The bone is dissected using orthopedic
   chisels punch holes in the strongest areas, then a bone
   break or smash.
4. Stitched seams.
5. In the process of correction, starting one week after surgery,
   one of the three methods (angular, medial, rotational) or their
   the combination performs a gradual reposition of the bones by
   computer simulated model:
   1. Using a computer allows you to carry out the correction form
      legs with great precision.
   2. The entire period of correction, which on average takes four
      month, the unit is on foot. You can walk without crutches with him.
      and do everyday chores, though the weight of the apparatus and the spokes,
      traumatic skin, create a lot of inconvenience.
6. The device is removed by the decision of the surgeon, after an x-ray
   will confirm sufficient bone scars.
7. After removing the device, the leg is fixed with an orthosis:
   1. during this period you will have to walk with crutches or
      walker;
   2. the load on the foot must be increased slowly with
      rehabilitation exercises.

Consider the examples of corrective operations on the device.
Ilizarov

Most often, an orthopedic surgeon is asked to correct a varus
(O-shaped) leg curvature.

X-shaped (valgus) deformations are less than 10% in
orthopedic practice, and addressed to them by doctors
patients are mostly men. The reason for the operation becomes
such defects are usually impossible to hide under the pants.

Straightening legs corner correction

This technique is the simplest:

Scheme of tibial angular correction
bones

The bone is incised and rotated at an angle to
alignment:

• When the O-shaped leg incision of the tibia
  produced from the inside of the lower leg, and the bone itself
  turns outwards.
• When X-shaped – a cut is made from the outside, and
  the bone turns inward.
• Technically, this is done by unilateral distraction:
  • tightening the bolts is only from the inside when
    O-shaped curvature, and only with the outer – with X-shaped.

If the curvature of the leg is large, then the intersection of the bone is done.
complete.

Medial offset correction

• The lower fragment of the bone is shifted during the varus deformity.
  inside, with valgus – outwards.
• For best results, you can combine angular and
  medial correction, medial displacement with lengthening.

Diagram of tibial medial displacement
bones

Straightening legs by rotation

This type of correction is rarely done and only with a pronounced
rotation and asymmetry of the legs. External or internal rotation (rotation
bones around its own axis) can be on one or both
limbs and accompanied by a varus or valgus
deformation.

Usually, the rotation is eliminated at the same time during the operation to eliminate
leg curvature, with the bone gradually, also in rotation, but in
the opposite direction, return to the place.

This is the operation of straightening the legs “on paper”. In life
everything is much more complicated and painful. Therefore, be patient,
courage and painkillers, remembering that beauty (and health),
sometimes they require sacrifices, but these sacrifices must be justified.

Video: Curved legs