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Esthetic Orthopedics - Operative Orthopedics

Esthetic surgery is part of the specialty called plastic - reconstructive surgery. Specialists in otorhinolaryngology (ear, throat, nose) and maxillofacial surgeons (face and neck) deal with aesthetic procedures only on the face. Unfortunately, it does not mean that an educated operator has a natural sense of esthetics. This is evidenced by everyday examples of the distortion of the human face and body under the guise of youth and beauty. Often, people who undergo these procedures do not look younger or more beautiful, but (to put it mildly) different. By comparing photos from his youth, we notice important differences, instead of similarities.

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In orthopedics, we can also talk about esthetics. Any deformity of the body that breaks the symmetry is not pleasing to the eye. With greater degrees of deformity, there is often an associated functional deficit. Such a condition can be painful or painless.

 

Lateral crooked neck in children (torticollis), curvature of the spine (kyphosis, scoliosis), shortening of arms or legs, X or O knees, dropped feet, extra toes, deformed fingers and toes (e.g. hallux valgus - bunions) belong to this category .

 

When deciding on surgical treatment, it is important to note whether the patient only has an esthetic problem, a combination with a functional deficiency, or whether it is only a functional problem (with or without pain). When solving an esthetic problem, the patient must be informed about the possibilities and potential limitations of surgery. The patient's expectations can be unrealistic. This is where the function of the operator is essential, who will describe the options in detail before the operation and warn about the unrealistic requirements. In terms of esthetics, more or less is not desirable, but the patient and the operator must decide on the optimum.

 

Suitable for the deformity and for each individual patient. Although all bones and joints in humans are similar, they are not the same, and small or large differences make esthetic and functional differences.

The patient and the operator must be aware of this before the operation, and in that case mutual satisfaction will not be missing.

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The foot, like the hand, is extremely complexly designed. A large number of bones and joints, tendons and muscles participate in movements. And yet we don't use our foot like a fist. In contrast to monkeys, our foot is primarily used exclusively to carry body weight when walking. By design, it is not adapted to a strong grip and precise grip like a fist. And yet the function of our feet is neglected today.

 

It is intended for walking on uneven terrain, and in many joints it adapts to the ground and enables the rest of the body to stand upright. Today, we mostly walk on flat surfaces where most of our foot joints do not move, and the muscles that should tense and relax adapting to the unevenness of the ground are either completely relaxed, inactive or constantly tense and contracted.

 

Modern footwear blocks most of the natural movements of the foot. Although the advantages of walking in high-heeled shoes have long been known, from a functional point of view they immobilize the entire foot. The only movement is in the ankle. Since walking in such shoes is not natural, over time problems may arise in the sense of a lowered transverse arch of the foot, a feeling of tiredness at the end of the day, pain and the appearance of calluses and other deformities on the soles or toes. Although the tendency to deformity is mostly congenital, walking in tight and high-heeled shoes worsens the deformity. In the summer months, people who have such problems hide their feet, and sometimes their walking is completely difficult or impossible due to pain.

 

Of course, there is a solution for such situations.

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