HALLUX VALGUS DEFORMITY (THUMB BONE PROTRUSION)

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ABOUT THUMB BONE PROTRUSION

Hallux Valgus, defined as a lump next to the thumb, reflects changes in the bony skeleton on the front of the foot. The thumb lies sideways towards the second finger, while it should point straight ahead. This takes the bones out of alignment and creates a lump.
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Hallux Valgus is a disease that progresses over time. It starts with the thumb lying to the side, gradually changing the angle of the bones over the years, which gradually becomes more and more noticeable. Symptoms often appear more aggressive in the advanced stages. Other fingers are also affected by this condition over time.

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HOW IS IT TREATED?

If the pain of the bone protrusion has started to interfere with daily activities, if your quality of life is decreasing, if you can’t wear the shoes you want, it’s time to discuss surgical intervention options with your doctor. For the decision to operate, the patient’s bone development must be completed. patients over the age of 19 can have this surgery. There is no upper age limit.

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BEFORE THE SURGERY

After receiving your Hallux Valgus surgery appointment, the first thing to be done is to have an AP Lateral X-ray taken by standing up.

You should inform your doctor about the medications you use regularly before surgery. Blood-thinning medications such as aspirin should be discontinued one week before surgery. Since herbal food supplements can also affect bleeding, it would be appropriate to stop them a week in advance.

Due to the negative effects of cigarette use on tissue healing and bone healing, it is important that tobacco and its products are discontinued before surgery and not used during the post-healing process.

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THE DAY OF SURGERY

No food and drink should be consumed for at least 8 hours before the operation.

If there is a medication that you need to use, you should consult your doctor about it in advance.

You must be at the hospital 2 (two) hours before your scheduled surgery time.

One-foot HV surgery takes about 45 minutes, and two-foot HV surgery takes about 90 minutes. After entering the operating room and resting in the waking room for a while after the operation, your transition time to your room may be about 2-3 hours.

General anesthesia and spinal / epidural anesthesia are possible in Hallux Valgus surgeries.

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THE HOSPITAL PROCESS

On the day patients undergo surgery, they start walking by wearing special surgical shoes. No plaster is made. Crutches are not allowed. All patients use surgical shoes for 1.5 Months (6 weeks).

Surgical shoes are brought to the hospital on the day of surgery in accordance with each patient’s foot.

Thanks to the shoes, patients return to their daily lives as of the first day, meet their own needs and can walk without support, giving their feet a full load.

Stay in the hospital for 1 night. He will be discharged the next day.

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HOMECOMING

One of the most important factors affecting the success of the operation is that you strictly follow the recommendations of your doctor in Turkey after the operation. You must be in cooperation.

Removal of Bandages: 15 After surgery. the bandages are removed on the day. After the bandages are opened, the transparent bands that you will see are waited until they fall off on their own. Do not try to remove it.

Bathing: It is extremely important that the bandages do not get absolutely wet during the first 15 days. Do not take a bath if necessary. After the bandages are removed, you can take a shower in running water (not in the bathtub). After showering, it is necessary to dry the transparent tapes very well with a blow dryer.

Medications: The medications that the doctor will prescribe should be used as recommended.

Nutrition: Good nutrition is very important in your postoperative recovery process. In terms of gaining muscle and tissue strength, a protein-rich diet should be followed. Be careful not to use cigarettes during this process.

Activity: You can walk by giving full load to your feet as of the surgery day. no sports activities can be performed for 1.5 months. light sports can be started at the end of 6 weeks. all sports are done at the end of 3 months.

Business Life: Office workers they can do work on the day 4. -5. For those who are constantly standing up, this period is extended by a few more days. It is possible to report with 10-day, 6-week or 8-week processes depending on the work pace and the patient’s preference.

Physical Therapy: There is no physical therapy process after this surgery.

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POSTOPERATIVE CONTROL

The first postoperative check-up is 1st week. Of the patient who comes from outside the city / country, he can return home after the day 3. check-up.

The sutures used in HV surgery are of the self-melting type. Therefore, there is no need to remove the stitches.

On week 6. a control X-ray is taken weekly, and the bone boiling condition is evaluated by your doctor.

Of the patient who comes from outside the city / country it is enough for them to take control X-rays at their own location on week 6.

Op.Dr.
Adult and Pediatric Orthopedist MedicalPark Antalya Hospital

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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