New breakthrough in orthopedic trauma treatment

At the beginning, the chairman of the conference, Associate Professor - Doctor - Doctor Do Phuoc Hung, Head of the Department of Orthopedics and Rehabilitation, University of Medicine and Pharmacy, Ho Chi Minh City, presented the topic "First-time shoulder dislocation - Conservative or surgical treatment". This is a common injury, especially in sports players. When the shoulder is dislocated, the patient will have the joint realigned, but the question is what to do next, should it be surgical or conservative treatment to avoid recurrence?

Associate Professor - Doctor - Physician Do Phuoc Hung, Head of the Department of Orthopedics and Rehabilitation, University of Medicine and Pharmacy, Ho Chi Minh City, shared at the workshop

Photo: China

According to Dr. Hung, about 50% - the group of patients treated conservatively - do not have recurrent dislocations, so not everyone with a first dislocation needs surgery. The advantage of surgery (mainly Bankart endoscopic surgery) is to reduce the rate of recurrent dislocations (10% compared to 55% without surgery), mainly helping athletes return to competition sooner. However, it can also cause complications in some patients. Based on clinical experience, doctors can determine surgery for patients based on many factors: age (young people have a higher risk of recurrent dislocations), the degree of bone damage, sports needs, and clinical examination results.

Hallux Valgus: A Common Under-Addressed Disease

In his presentation, Dr. Le Trong Phat, Head of the Department of Orthopedics and Hand Surgery, FV Hospital, mentioned hallux valgus - a deformity caused by the base of the big toe joint growing to one side, leading to the big toe bone leaning towards the smaller toe. Up to 23% of adults aged 18-65 suffer from this condition. Women are 2-3 times more likely to suffer than men, one of the causes identified as frequent use of high heels. However, this is a disease that has not received due attention.

Before and after surgery for hallux valgus at FV Hospital

Photo: BVCC

To treat hallux valgus, mild cases can be treated with footwear changes, pads, toe separators or orthotics. In severe cases, surgery is indicated. "The goal of surgery is to correct the bone axis and soft tissue (tendons, muscles). If only the bone is corrected without correcting the soft tissue, the risk of failure can be up to 90%," said Dr. Phat.

Misconceptions about flat feet in children

Another foot-related problem is flexible flat feet, presented by Dr. Truong Hoang Vinh Khiem, Department of Orthopedics and Hand Surgery, FV Hospital, at the conference. Recently, many parents have taken their children to be screened and treated for flat feet very early. However, according to Dr. Khiem, early treatment is unnecessary. A study showed that nearly 94-100% of 2-year-old children have flat feet, but by the age of 10, this rate is only 4%. This shows that most children will develop normal foot arches as they grow up.

Treatment for symptomatic flat feet should be performed in children between the ages of 8 and 13, such as encouraging children to walk barefoot more to strengthen the structures, muscles, and ligaments; wearing insoles to create a concave arch in the foot; in severe cases (children complain of foot pain at night, poor gait, prone to falling, etc.), surgery may be required.

Specialist Doctor 2 Truong Hoang Vinh Khiem presents issues related to flat feet

Photo: China

Cure Rheumatoid Arthritis in the Near Future

Refers to the treatment of rheumatoid arthritis (also known as rheumatism). This is a chronic inflammatory arthritis that affects the synovial membrane, destroys cartilage and bone, and can cause disability. About 1-2% of the population has this disease.

Master - Doctor Nguyen Chau Tuan, Department of Internal Medicine and Musculoskeletal, University of Medicine and Pharmacy Hospital, Ho Chi Minh City, recommends that patients need to be diagnosed and treated early. There are many causes of polyarthritis, so it is necessary to pay attention to individualization in treatment. Patients are treated with a combination of medication, physical therapy and in cases of deformed joints, surgery may be required. "The ultimate goal of treating rheumatoid arthritis is to push back the disease, prevent complications, and preserve the patient's quality of life," Dr. Tuan emphasized.

Source: https://thanhnien.vn/dot-pha-moi-trong-dieu-tri-chan-thuong-chinh-hinh-185250415210440133.htm