Foot change
The change of foot needs special attention and careful leaving as each bone in foot is closely interconnected with others, any 
shift or injury of one bone can lead to disturbance or deformation of others. Also owing to a change of foot musculoskeletal system diseases, for example, flat-footedness or arthrosis can develop. Changes of foot make about 2,5-10% of number of all changes.
Foot change reasons
The fracture of bones of foot can arise because of:
• kick;
• landings on legs during a jump from big height;
• falling of heavy things on foot;
• a foot incomplete dislocation during circulation on uneven surfaces.
Types of a change of foot
1. Fracture of bones of manual phalanxes;
2. Fracture of a plusnevy bone of foot (including fracture of the 5th plusnevy bone of foot);
3. Fracture of a tarsal bone.
Symptoms of a fracture of bones of foot
The general symptoms of a fracture of bones of foot are pain and hypostasis of fabrics, nearby from the place of a change.
Symptoms of a fracture of plusnevy bone of foot (including fracture of the 5th plusnevy bone of foot):
• deformation of foot;
• pain during palpation and a support on foot;
• hypostasis on a sole and, sometimes, the foot back.
Symptoms of a fracture of bones of manual phalanxes:
• presence of hematomas;
• pain during movements and a palpation;
• hypostasis and posineniye of a sore finger.
Symptoms of fractures of tarsal bones of foot:
• hemorrhages on integuments;
• sharp pain during turns of foot and a support on it;
• puffiness of soft tissues in an ankle joint and the place of a change.
Foot change symptoms with shift:
• noticeable puffiness of all foot;
• strong deformation of foot;
• sharp pains in the place of a change.
Treatment of a change of foot
Metatarsus bones. During usual changes impose the plaster tire for one month. When there is a shift of fragments, bones set in the closed way and fix gypsum for six weeks.
Tarsus bones. If there is no shift, fix the circular plaster tire for a period of three weeks up to five-six months. If there are shifts of fragments of a bone, make their reposition (recovery of the necessary situation) and impose skeletal traction.
Bones of manual phalanxes. Apply a plaster bandage for a period of up to six weeks depending on weight of a change. If there is a shift, bone fragments in addition fix by means of spokes.
Insignificant cracks and fractures of bones of foot can treat without use of plaster bandages. In such cases foot is fixed by means of a bandage or special protective footwear. To lower loads of foot, crutches are applied.
Sometimes also appoint drugs for internal reception. Often, it is antiinflammatory and vitamin drugs.
Recovery after a foot change
The rehabilitation period depends on duration of imposing of a retentive bandage and weight of a change.
If there is a fracture of a plusnevy bone of foot, it is recommended to go in for the sparing medical physical culture for two months. During it there can sometimes be a popedema. If there was a shift after fixation by gypsum, make its replacement by the back bandage from gypsum having a thickening on a heel (heel) which needs to be carried on an extent of two-three weeks. After gypsum will be removed, the patient will need to use orthopedic insoles.
Fractures of tarsal bones need longer period of recovery. Massage, physical therapy, the sparing physical culture and carrying instep supports are shown. For two-three months all events for rehabilitation have to be held under supervision of doctors. Instep supports rush not less than one year.
If there was a fracture of manual phalanxes, the patient needs every day the kneading massage. Not less than five months are also desirable to wear orthopedic shoes.
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