Edema of the foot after a fracture of the foot
A fracture of the foot is a frequent trauma. Most often, a fracture of the foot occurs due to landing on the feet when jumping from a high altitude, with a kick or the like. Fracture - a long trauma in healing and requiring special attention from the patient and doctors.
Fractures of the foot account for up to a third of all closed fracturesbones. Traumatic foot injuries occur as a result of a fall from height to foot, as a result of a direct impact, due to subluxation of the foot when walking on an uneven surface.
Fractures of the talus are 0.5% of allfractures of the foot. Occur as a result of a sharp rear bending of the foot or excessive axial load on the leg. There are isolated fractures of the posterior process, fractures of the neck and body of the talus. Treatment of fractures without displacement is the imposition of a plaster bandage. Depending on the type of fracture, the period of immobilization is from 2 to 3 weeks (isolated fracture of the posterior process) to 2 to 3 months (fracture of the neck and body of the talus). After the blockage of immobilization, therapeutic gymnastics, massage, physiotherapy, orthopedic insoles or shoes are prescribed.
Fractures of the foot can occur inThe result of a direct impact (for example, when falling on foot from a height or with a strong impact on the bones of the foot) is the so-called direct mechanism of injury. There is also an indirect mechanism of injury, when the force is not directed directly to the affected bone. For example, if the foot is clamped on all sides, and in the shin area, a sharp rotational movement is made (most often, in order to free the jammed leg) - such movement can lead to both a fracture of the shin bones and a fracture of the foot bones.
If there is a suspicion of a fracture of the foot bones, an X-ray of the foot is mandatory, which not only confirms the diagnosis, but also allows choosing the correct treatment tactics.
If there is a suspicion of a fracture of the foot, the victimFirst aid is needed. To do this, the injured leg needs to be immobilized - this can be done with a tire (any plate that is slightly longer than the knee will fit), which is bandaged to the leg. After applying the tire, you need to call an ambulance or deliver the injured person yourself to a traumatologist.
Fractures of the talus of the foot are not commonand account for about 1% of all fractures of the foot bones. However, fractures of the talus are considered heavy. The severity of the fracture is determined by the inadequate blood supply to the bone as a result of the fracture, since the bone tissue is supplied by the vessels surrounding the talus bone of the soft tissues.
Treatment of a fracture of the talus bone. An anesthetic of the fracture site is performed. In the absence of bias or dislocations, a plaster bandage from the fingertips to the upper third of the shin is applied to the foot - the so-called "gypsum boots". Stops are given a certain position, depending on the type of fracture. The period of immobilization is from 4 to 8 weeks. If there was a fractured fracture, the period of immobilization with a plaster bandage is increased to 12 weeks. If there is a displacement of the fragments, they are compared by a closed route, using special methods. With a successful comparison, a plaster cast is applied after it. If the fragments could not be compared, or if they were re-displaced, surgical treatment is performed. In the operative way, most often we have to carry out the correction of the dislocations of the talus. For internal osteosynthesis, spokes or cortical screws are used.
Fractures of the calcaneus of the foot meet withfrequency of 4% of all fractures. The fracture mechanism is usually straight: a fall from height to heel or heel. There is a wedging of the talus in the heel and a split of the calcaneus. Quite often, both heel bones break down at the same time. Depending on the height of the fall, simple or fractured and multi-lobe fractures arise, and the position of the foot during the impact determines the direction of the fracture line and the displacement of the fragments. Fractures of the calcaneus can be:
Extra-articular fractures are also considered fractures of the joint area between the calcaneal and cuboid bones. These include fractures such as "parrot's beak" and multi-lobe fractures of this region.
Intra-articular fractures are called fractures,the line of which enters the subtalar joint. They are divided into fractures with displacement and fractures without displacement. The patient complains of heel pain. The form can change. The heel flattenes, its base expands. There is an edema that usually spreads to the area of the Achilles tendon. Pain expressed, sharply increased by palpation. Step on the heel is impossible because of severe pain, but movements in the ankle remain.
Treating fractures of the calcaneus. First of all, analgesia of the fracture site is carried out using solutions of local anesthetics. If the X-ray images are not detected on the leg, a plaster bandage is applied from the toes to the knee, paying special attention to the formation of the longitudinal arch of the foot. The duration of immobilization is up to three months. Fractures of the calcaneus with displacement are treated with a one-step reposition, if possible, with the subsequent application of a plaster bandage. Often use internal osteosynthesis. In this case, surgical treatment is carried out in a delayed time, 1-2 weeks after the fracture. Splintered and multi-lobe fractures are treated with the Ilizarov apparatus for 1.5-2 months.
Fracture of the tarsi bones occurs with the fallweight on the foot. This may damage one or more bones. On the site of the fracture appears swelling and soreness, which is amplified by turning the foot. The victim can walk, but rests only on the heel.
In fractures without displacement, a plasterbandage with modeling of the arches of the foot for 3-4 weeks. In fractures with a displacement of fragments, a closed or open reposition is performed with subsequent application of a plaster bandage.
Fracture of metatarsal bones and phalanges of fingers
The cause of these fractures are most oftenFall of gravity to the rear of the foot or its sharp overextension. There is a fracture with a sharp pain, which is strengthened when pressing on the head of the metatarsal bone, increased mobility of the affected part of the foot.
The affected foot is impregnated with a cast bandage up to the knee with modeling of the forefoot for 2-3 weeks (if the fragments are not displaced), or a reposition (closed or open) of the fragments is performed.
If you fracture the phalanges of your fingers without shifting the fragments to the foot, a bandage is applied from the adhesive plaster for two weeks, with fractures with a displacement of the fragments, skeletal traction is carried out beyond the terminal phalanx.
Fractures of cuboid and sphenoid bones
Rare damage occurs as a result of direct injury. In this case, isolated bone damage or a fracture of several bones may occur. A combination of bone fractures with a metatarsal dislocation is possible.
Local soreness, swelling in the region »fracture, limitation of mobility.
With fractures of cuboid and sphenoid bones,which, as a rule, are without significant displacement, impose a circular gypsum dressing up to the knee joint. The bandage and the stirrup are plastered into the bandage. Dose load is allowed to reduce the pain syndrome. The duration of immobilization is 4 weeks with an isolated fracture and 6 weeks with a fracture of several bones. Workability is restored in 6-8 weeks. It is necessary to use the instep for 1 year.
With fracture-dislocations of metatarsal bones,to reposition and eliminate the dislocation. Anesthesia is intraosseous or conducive. To facilitate traction for a short front of the foot, it is lubricated with a glue. If it is necessary to apply considerable effort, through the metatarsal bones conduct Kirschner's needle, secure it in an arc and pull the arc behind the arc. If the elimination of fracture-dislocation is stable (after the termination of the traction along the length there is no relapse of displacement), impose a circular gypsum dressing to the knee joint with a modeling of the arch with the instep and the stirrup. If the direction is unstable, additional fixation is performed by several spins in different directions. The dosed load is resolved after 4 weeks. The bandage is removed after 10-12 weeks. Incapacity is restored in 3-5 months. The arch support should be used within 1 g.
Occur when heavy objects fall on the footor compression of the fingers. Fractures of the middle and nail phalanges, if they are not complicated by soft tissue damage, do not lead to significant functional impairment. At the same time, fractures of the main phalanges of the fingers, especially the intraarticular ones, can lead to stiffness in the metatarsophalangeal articulation, which makes walking difficult and accompanied by a pain syndrome.
Pain in the finger, bruising and swelling, increasing pain with axial pressure on the finger make you suspect a fracture. The diagnosis is specified by radiographic examination.
With closed fractures without displacement,immobilization of the back gypsum tire to the knee joint. Within 2-4 weeks the load is not allowed. The ability to work is restored in 4-6 weeks. If there is a bias, a closed reposition is performed. The duration of immobilization is 4-6 weeks. Workability is restored in 6-8 weeks.
With a fracture of the terminal phalanges of the fingers, it is possible to carry out treatment by immobilization with an adhesive bandage.
Fracture of the sesamoid bone of the 1st toe
Occurs from direct trauma and can be self-contained or combined with a fracture of the metatarsal head.
The patient is concerned about pain in the head of the metatarsal, palpation is painful, the load on the head of the metatarsal bone due to pain is impossible.
When reading the radiograph, it is necessary to rememberthe possibility of a biparcial or tri-partial sesamoid bone. The absence of local pain, the smoothness of the contours and the analogous structure of the sesamoid bone on the other foot allow differentiation.
Treatment consists in immobilization of the circularplaster bandage to the knee joint for 4 weeks. With the beginning of walking appoint an orthopedic insole with unloading the head area of metatarsal bone. Workability is restored after 6 weeks.
For rapid healing of fractures, use Polymedel and ArgoVasna gel.
KAL-DI-MAG is a formula that provides a dailythe body's need for calcium, magnesium, vitamins C and D. Calcium is in the form most easily absorbed by the body. Increased relative to the norm, the content of inorganic phosphorus and the lowered relative to normal content of calcium in the blood are indications for the reception of KAL-DI-MAG.
Polymeric medical film Polymedel Developed by a scientist from St. Petersburg, KopyshevMikhail Alekseevich. Produced from medical fluoroplastic F4a, treated with corona discharge at a temperature of 200 * C, a negative charge of high density is formed on the film.
Polymedel is approved by the Ministry ofHealthcare of Russia by Protocol No. 1 of 10.01.94. It is entered in the register of medical devices KPL 010/020 by 08.04.94. Approved by the certificate of the State Standard of Russia ROSS RV.IM 02.С00671.
Has passed clinical tests on the basis of chairInternal diseases of the second medical faculty of the Moscow Medical Academy named after IM Sechenov. in the Russian Scientific Center for Rehabilitation and Physical Therapy, in the 1st city hospital in Moscow and the Moscow Dental Institute. Semashko.
Initial application - traumatology and orthopedics: bruises, dislocations, fractures, arthritis, arthrosis, radiculitis, rheumatism.
But clinical medical research has shown that Polymedel OK works as an analgesic - relieves pain syndromes in various pathologies, in places of application Polymedia.