Dr. Vinod Dubey

  • Kandivali | Malad | Mira Bhayandar | Thane
  • +91 8108127022 / 6358854077 / 8369338859
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Upper & Lower limb deformity correction

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What is lower limb deformity correction?

Lower limb deformity correction is often carried out at the same time as limb lengthening surgery to achieve the best possible outcome. Deformities of the lower limbs (legs and feet) can develop before a child is born or during early childhood, or as a result of an injury. They may vary in severity from deformities that affect someone’s mobility to those that are purely aesthetic.

What does lower limb deformity correction involve?

Lower leg deformities are corrected using a procedure called osteotomy. This entails making a cut to the bone and then realigning bones and joints so they are correctly positioned. They are then stabilised, in some cases using an external fixator, as in limb lengthening surgery. A fixator is a frame that attaches to the end of the bone, keeping it in the correct position and allowing new bone to grow to fill any gaps. Osteotomies are an effective method of joint preservation. By realigning the joints so they are working correctly the procedure helps to prevent any further joint damage.

Why might I need lower limb deformity correction?

You might be offered this type of surgery if you have had lower limb deformity since birth or early childhood, or if you have developed the condition as a result of an accident or injury. Deformities in children are often caused by genetic abnormalities, the position of the foetus in the womb or nutritional deficiencies. Among the conditions that might be suitable for this type of surgery are:
  • Club foot (congenital talipes equinovarus) which is a congenital abnormality that causes a child’s foot to twist inwards at the ankle.
  • Flat foot or fallen arches (pes planus) which is a condition where the natural arch of the foot fails to develop or collapses.
  • High arch which is a condition that causes the foot arch to become abnormally pronounced, causing pain in the ball and heel of the foot.
  • Tarsal coalition which is where two or more tarsal bones fuse.
  • Bowed legs (congenital genu varus) which causes an abnormal outward curve in one or both legs.

How long does it take to recover?

Recovery times vary depending on the procedure that is carried out, the extent of surgery required, your age and general health and wellbeing. Before surgery you will be screened to check for levels of Vitamin D and to rule out infection or other potential problems that may affect the outcome of surgery. After surgery you can help to speed up your recovery by keeping weight off the affected limb and raising your leg above the level of your heart as much as possible during the first few days. It is important that you follow the surgeon’s advice about keeping the wound clean and dry and that you do any exercises set by the physiotherapist as these will help you to regain a full range of movement and flexibility. You should not smoke or take anti-inflammatories as these can impede healing.

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FAQ'S

What is the basic knowledge of cardiology?

Cardiology is the medical specialty that deals with the diagnosis and treatment of diseases related to the heart and blood vessels. Basic knowledge of cardiology includes understanding the anatomy and function of the heart, the various cardiovascular diseases, risk factors for heart disease, diagnostic techniques such as electrocardiograms (ECGs) and echocardiograms, treatment options including medications, interventions, and surgeries, and preventive measures to maintain heart health.

What are some good questions to ask a cardiologist?
  • What lifestyle changes can I make to improve my heart health?
  • What are the risk factors for heart disease, and how can I manage them?
  • What symptoms should I be aware of that might indicate a heart problem?
  • What diagnostic tests might be necessary to assess my heart health?
  • What are the treatment options available for my specific condition?
  • Are there any potential side effects or risks associated with the prescribed medications?
  • How often should I have follow-up appointments to monitor my heart health?
  • Are there any specific dietary recommendations I should follow?
  • Can you provide information on cardiac rehabilitation programs?
  • What steps can I take to prevent future heart problems?
What Type of Cardiologist Should You See for Specialized Heart Care?
  1. The type of cardiologist you should see for specialized heart care depends on your specific condition. Here are a few examples:
  • Interventional Cardiologist: Specializes in performing procedures such as angioplasty, stenting, and catheter-based treatments for coronary artery disease and other structural heart problems.
  • Electrophysiologist: Focuses on the diagnosis and treatment of heart rhythm disorders (arrhythmias) using techniques like electrophysiology studies and cardiac ablation.
  • Heart Failure/Cardiomyopathy Specialist: Specializes in managing heart failure and cardiomyopathy, including the use of advanced therapies like implantable devices or heart transplantation.
  • Adult Congenital Heart Disease Specialist: Deals with the diagnosis and treatment of heart conditions that were present since birth but persist into adulthood.
  • Cardiovascular Surgeon: Performs surgical procedures on the heart and blood vessels, such as coronary artery bypass grafting, heart valve repair or replacement, and heart transplantation.
What are the different types of heart disease?
  1. Coronary artery disease (CAD): This is the most common type of heart disease and occurs when the coronary arteries, which supply blood to the heart, become narrow or blocked due to a buildup of plaque.
  2. Heart failure: This refers to a condition where the heart is unable to pump enough blood to meet the body’s needs. It can result from various underlying causes such as CAD, high blood pressure, or heart valve disease.
  3. Arrhythmias: These are abnormal heart rhythms that can occur due to electrical disturbances in the heart. They can cause the heart to beat too fast, too slow, or irregularly.
  4. Heart valve disease: This condition occurs when one or more of the heart valves do not function properly. It can involve valve stenosis (narrowing) or valve regurgitation (leakage).
  5. Cardiomyopathy: This refers to diseases of the heart muscle, where the muscle becomes thick, rigid, or weak, affecting the heart’s ability to pump effectively.
  6. Congenital heart disease: This is a type of heart disease that is present at birth. It involves structural defects in the heart that affect its normal function.
  7. Pericardial disease: This involves inflammation or abnormalities of the pericardium, the sac-like membrane surrounding the heart.
What are the common symptoms of heart disease?
  1. Chest pain or discomfort (angina): This is a common symptom of coronary artery disease. It may feel like pressure, tightness, or a squeezing sensation in the chest.
  2. Shortness of breath: Difficulty breathing or feeling breathless, especially with exertion or when lying flat, can be a sign of heart disease.
  3. Fatigue: Feeling excessively tired or lacking energy, even with minimal physical activity, may be a symptom of heart disease.
  4. Heart palpitations: Sensations of a rapid, fluttering, or pounding heartbeat may occur with certain heart conditions.
  5. Dizziness or fainting: Feeling lightheaded, dizzy, or actually fainting can be a result of inadequate blood flow to the brain due to heart problems.
  6. Swelling: Fluid retention can cause swelling in the legs, ankles, feet, or abdomen.
  7. Rapid weight gain: Sudden and unexplained weight gain may be a sign of fluid buildup related to heart failure.

It is important to note that these symptoms can also be caused by other conditions, and some individuals with heart disease may not experience any symptoms until a more advanced stage. If you are experiencing any concerning symptoms, it is recommended to consult a healthcare professional for a proper evaluation.