orthopedics of the foot

Our surgical center performs foot surgery Foot operations of all levels of difficulty. Highly qualified specialists under the leadership of an experienced endoscopic surgeon, phlebologist and chief physician of the Gerbov Vitaly Surgical Hospital carry out surgical procedures using the most modern technologies and high-quality materials from renowned foreign manufacturers.

Production of orthoses in the foot and running laboratory at the SportKlinik. Video.

The human foot is a biological masterpiece! When describing its structure and function, experts often speak of its own organ. So what do we know about this unique creation? It is a paired organ that has a complex anatomical structure and fulfills important functions as a support and foundation of the body throughout life! Its skeleton consists of an average of 27 bones grouped around 33 joints. Two feet contain about a quarter of all human bones!

More than 100 soft structures (ligaments, muscles, tendons, blood vessels and nerves) fulfill the most important functions: support and elasticity. The unique structure and function of this first link in the entire biomechanical chain is like a complex but finely tuned machine: all structures work precisely and interconnectedly to carry enormous loads.

On average, each of us takes around 8,000-10,000 steps per day, which means that our feet are exposed to several hundred tons of pressure in a day. If a person weighs 70 kg and takes 8,000 steps every day, each foot weighs 280,000 kg in a day, 1,960,000 kg in a week, 8,400,000 kg in a month, and 102,200,000 kg in a year.

This enormous daily strain partly explains why the lower musculoskeletal system is most susceptible to injury and disease. The most common health problems include various types of deformities, injuries and other painful conditions. Some diseases can be hereditary, others arise from incorrect biomechanics when walking or running, and others develop due to inappropriate footwear.

The causes are diverse. If you take care of your feet and don't take them for granted, they will last you a lifetime. The SportKlinic's 'Foot and Running Laboratory' is a unique facility that offers everything you need for comprehensive diagnostics and effective treatment of diseases and injuries to this important organ.

Instructions

Deputy Director for Innovative Development and Regional Affairs, Head of the Department of Foot Pathology, Neuroorthopedics, Systemic Diseases, Dr. according to Dr. med., professor, neurosurgeon, orthopedist-traumatologist

Head of the Department of Foot Pathology, Neuroorthopedics and Systemic Diseases, Doctor of Medical Sciences, Honorary Doctor of the Russian Federation, Orthopedic Traumatologist.

It is the only specialized department of pediatric orthopedics in Russia, where severe deformities of the lower limbs are treated in rare congenital, hereditary and systemic diseases of the musculoskeletal system:

• all forms of systemic skeletal dysplasia;
• Larsen syndrome, Ellers-Danlos syndrome, Marfan syndrome;
• Various forms of rickets and rickets-like diseases;
• Blount's disease.

Scientists and doctors of different generations – II Mirzoeva, NP Kudryakova, NK Kachurova, AN Krechmar, OK Evdokimov, Yu. Pozdnikin and others. Professor MP Konyukhov, MD, Chief Scientific Officer, has developed the diagnosis and treatment of foot deformities for decades and created a scientific and practical system for the treatment of foot deformities. The department's team includes employees and students Dr. Kenis VM, Dr. Klychkova I.Yu., Candidate of Medical Sciences Sapogovsky AV, Candidate of Medical Sciences Melchenko EV, research associates, doctors and graduate students Kiseleva TI, Stepanova JA, Kovalenko-Klychkova NA and Morenko ES

The department carries out:

• Diagnostics and development of complex treatment of children with diastrophic dysplasia and multiple epiphyseal dysplasia;
• Diagnosis and treatment of orthopedic disorders in mucopolysaccharidosis, mucolipidosis and other cumulative diseases;
• Treatment of children with Down syndrome, Kleinfelter syndrome and other chromosomal abnormalities;
• neuroorthopedic treatment of children with cerebral palsy (botulinum therapy, staged cast corrections, surgical interventions, selective dorsal rhizotomy, baclofen testing and treatment of patients with baclofen pumps);
• Correction of deformities of the feet and lower limbs in Charcot-Marie-Tooth disease, various forms of myopathy, polyneuropathy and spinal muscular atrophy;
• Comprehensive orthopedic treatment of lower limb pathology in spina bifida.

Clubfoot treatment according to the Ponseti method

Treatment of clubfoot using the Ponseti method is the most gentle, effective and currently the most widespread treatment for children with this pathology. Most orthopedic surgeons around the world consider the Ponseti method to be the 'gold standard' for the treatment of club feet.

Currently, the GI Golubev Scientific and Research Center for Traumatology and Orthopedics in St. Petersburg is the only institution in St. Petersburg and the North-Western Region of Russia where treatment according to the Ponseti method is carried out. THE ONLY FACILITY IN ST. PETERSBURG AND IN THE NORTH-WESTERN REGION OF RUSSIA, WHERE TREATMENT IS CARRIED OUT BY THE PONSETI METHOD, THE GI IS IN THE TOURNIER CENTER FOR PEDIATRIC TRAUMATOLOGY AND ORTHOPEDIC.

In the Tournier Center for Pediatric Traumatology and Orthopedics of the Russian Ministry of Health. The treatment of clubfoot using the Ponseti method is carried out by the head of the foot pathology department, Dr. med. VM Kenis, led. Doctor of Medicine VM Keniswho studied this method in orthopedic clinics in Switzerland and Austria. A great help to the department is the leading specialist on this problem in Russia MA Vavilov, MMDVavilov, who works in the Department of Pediatric Surgery of the Yaroslavl Medical Academy. Every year, the department's specialists give scientific lectures at Russian and international congresses, receive advanced training at leading foreign clinics, organize seminars and master classes with world-famous professors and scientists, and host foreign colleagues to exchange experiences.

The specialists of the department conduct the consultations in the consultation and diagnostic department of the institute.

What type of anesthesia is used?

Most operations on the foot and ankle require local anesthesia (regional anesthesia).

• The drugs administered to the body do not have a toxic effect, so the patient does not feel nausea or weakness after the operation;
• The patient is in light, medically induced sleep (with independently functioning life support systems);
• Long-term analgesic effect after surgery (up to 24 hours);
• The patient's condition is monitored by an experienced anesthesiologist, applying a tourniquet to avoid unwanted complications during the operation (damage to blood vessels, nerves, tendons, ligaments, etc.).

Cost?

As a federal medical institution, we actively accept patients from all over Russia, both on a paid and unpaid basis.
90 % of surgical treatments are covered by state quotas, which means that every citizen of the Russian Federation can receive high-tech medical treatments for free at the Pirogov High Medical Technology Clinic in St. Petersburg.
90 % of surgical treatments are covered by state quotas, which means that every citizen of the Russian Federation can receive high-tech medical care free of charge at the Pirogov High-Technology Medical Clinic in St. Petersburg. This means that every citizen of the Russian Federation can receive high-tech medical care free of charge in the NI Pirogov High-Technology Medical Clinic of St. Petersburg State University.

NI Pirogov High Medical Technology Clinic is a unique medical institution in Russia. NI Pirogov Clinic of High Medical Technology, Department of Traumatology and Surgery № 2

SURGICAL CARE FOR FOOT PATHOLOGY

Our surgical center offers a comprehensive range of services for the prevention, diagnosis, treatment and rehabilitation of acquired diseases, injuries or congenital anomalies of the foot structure.

Before the operation, the patient undergoes a comprehensive examination. Based on this examination and an objective assessment of the condition of the limb, a surgical procedure is selected that is optimally tailored to the specific pathology. Thanks to the center's state-of-the-art diagnostic equipment, all diagnostics can be carried out on the same day. After receiving the results, the doctor will schedule an operation date on a day of the week that is convenient for the patient.

All Foot operations are carried out using the latest technology. The practical use of minimally invasive techniques allows surgical interventions that significantly reduce the risk of postoperative complications. During endoscopic procedures, blood loss is minimal, the patient experiences less postoperative pain, and the rehabilitation period is shorter.

Imported anesthetics have no side effects and allow the patient to tolerate the operation well. Our orthopedists and surgeons are very experienced in using modern microimplants and fixation devices (special clamps, screws), which they use to stabilize bone fragments if necessary. These designs are hypoallergenic, non-toxic, do not repel the body, do not cause discomfort when wearing shoes and allow you to avoid the traditional plaster cast in the postoperative period.

CHARACTERISTICS OF THE POSTOPERATIVE PERIOD

The length of hospital stay after surgery depends on the patient's condition and the extent of the procedure, but is usually no more than 2 days. The patient is often discharged for outpatient rehabilitation on the day of the operation. Rehabilitation treatment in the postoperative phase can also take place in the science and practice center. A complex of physiotherapeutic methods and physiotherapy helps to restore the function of the operated foot and return to normal life in a short time. Before you are discharged from the hospital, your doctor will recommend which orthopedic footwear you should wear in your case.

• all traumatic injuries, including broken bones;
• the consequences of impaired bone healing after a fracture;
• Deformities – Taylor deformity, Haglund deformity, hammertoes or valgus;
• Defects in the structure of the foot, e.g. B. a high heel;
• onychocryptosis (ingrown toenail);
• Any type of flatfoot – congenital, acquired, ricochet, traumatic, static, etc;
• bunions;
• Arthritis;
• Chronic pain in the foot;
• Damage to the ligamentous system of the ankle joint, which leads to instability (kinking in the ankle joint) of the foot;
• heel spur;
• Osteochondropathies – Schinz disease, Keller I and II;
• Morton's neuroma;
• benign tumor;
• Amyotrophic lateral sclerosis and others.

Finger corrector (1.) F 2910

FOSTA F 2910 special corrector for one finger Areas of application: The corrector is used for hammer toe deformities caused by transverse flat feet. Special features: The orthosis is made of composite materials. The base is made of leather. In the middle part of the orthosis there is a special band that forms a ring for the toe. When the band is placed on the base of the second toe, it tightens and straightens the hammertoe, ensuring its correct anatomical position. The orthosis is worn at night. In some cases, the orthosis can also be worn during the day if high-rise shoes are available. By using this orthosis, pain syndromes are significantly reduced, the risk of painful corns in the upper toe area is reduced and the wearing comfort of shoes is significantly improved. Instructions for use and care: The orthosis should be hand washed at a maximum water temperature of 35°C with a mild, high-quality detergent. It is recommended to dry the orthosis without using heating devices. The duration and use of the orthosis is determined by the attending physician. Size: Universal.

You can ask any question about the product or the shop.

Our qualified technicians will surely help you.

Our online shop offers several delivery options:

• Courier delivery in cities where the network operates;
• Collection in the 'Regenerative Medicine' salon;
• Delivery by Russian Post;
• Delivery by a transport company ('SDEK', 'Boxberry');
• Delivery by a transport company ('SDEC', 'Boxberry') to your door.

Delivery by courier.

In the cities of the Vostanovitelnaya Medina network of presence (Rostov-on-Don, Azov, Stavropol, Nevinnomyssk, Mineralnye Vody, Pyatigorsk, Essentuki, Kislovodsk, Georgievsk, Novopavlovsk, Budyonnovsk) you can order delivery of goods by courier. The courier company will contact you after receiving the goods at the warehouse and suggest a convenient delivery date.

• The Ponseti method.
• How to see an orthopedist for free.
• Ponseti breeches.
• Orthopedics Moscow.
• Website of the orthopedic doctor.
• 1 year old child with clubfoot.
• Custom made orthopedic shoes.
• What is an orthosis?.