(1), shoes for varus feet are worn on the outside of the heel and the inside of the forefoot.
(2) The shoes worn by everted feet are worn on the outside of the heel and the outside of the forefoot.
(3) Shoes worn by normal feet are easy to wear on the outside of the heel and evenly on the inside and outside of the forefoot.
2. We can distinguish varus foot from varus foot according to the bone line of the foot.
Extended data:
Comprehensive rehabilitation methods for hallux valgus;
1. Foot correction methods: By means of traction, massage and induction, rehabilitation correction methods are selected for hallux valgus caused by different mechanisms.
(1), gently knead, press tendons and release spasmodic lateral foot muscles; The relaxed muscles in the foot are hit, pressed and stimulated, which enhances their muscle tension and contraction;
(2) Stretching the soft tissue contracture of the lateral margin of the foot moderately, from weak to strong, and gradually exerting force slowly;
(3) Pinch the back of ankle joint, stimulate the medial edge of foot, and induce foot to do active varus and dorsiflexion;
(4) When the child is standing, the forefoot is loaded. When using foot correction technology, we should choose different methods and the degree of correction according to the situation of children's foot valgus, especially pay attention to prevent excessive mechanical traction during the drafting process, so as to avoid peripheral soft tissue injury or fracture.
2. Foot-piercing is the same: children with early, mild and no obvious clinical pain symptoms are generally treated conservatively in clinic, and it is also the same to correct foot deformity and improve children's walking ability by using arch pads or foot-piercing.
Comprehensive rehabilitation methods for varus foot;
Manual correction should be applied in neonatal period and treatment should be started as soon as possible after birth.
Manipulation correction operation should be gentle. Fix the heel with one hand, and correct the adduction of the forefoot with the other hand, then correct the varus and horseshoe in turn, and then fix it with adhesive tape to keep the corrected position.
The toe base and forefoot are padded, and the heel, medial ankle and knee joint should also be protected.
The treatment takes about 6 ~ 10 weeks, and infants over 6 months can be fixed in the corrected position with long leg plaster, and it takes about 9 ~ 1 2 months to change the plaster once a month.
When fixed with plaster, attention should be paid to prevent crush injury and blood supply disorder, and the lateral heel of the sick child should be padded about 0.5 cm after walking to consolidate the curative effect.
1 ~ 3-year-old children can be treated by surgery. There are two main types of surgery:
1, soft tissue surgery
Including lengthening of achilles tendon and posterior capsule amputation of ankle joint to correct horseshoe deformity, loosening of medial soft tissue of foot to correct varus, and tendon transfer to maintain the balance of foot muscle strength.
2. Orthopedic Surgery
It is suitable for children over 10 years old, including all kinds of osteotomy and joint fusion of feet, correcting deformity and stabilizing joints.
The principle of operation is to remove or release all pathological contracture soft tissues that hinder orthopedic surgery, such as achilles tendon lengthening and plantar fascia release.
Besides the release of posterior medial soft tissue, children aged 3 ~ 5 can also do calcaneal osteotomy, calcaneocuboid joint fusion, tendon transfer, cuboid wedge osteotomy and so on.
Baidu encyclopedia-foot valgus
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