Surgical mounts correction – Interview with Dr. Michael Baleanu
Since the clinic Proestetica is successful surgical correction operations to mount, no longer fear that we might lose forever beautiful slender legs and walking. Responsible for peace and health problems of patients with diseases and deformities of the foot is Dr. Petre Mihai Baleanu, international specialist that comes mainly from Italy in order to treat patients.
Interview by Alice Nastase Buciuta | Foto: PaulL Bucilita ■ Marea Dragoste
Alice Nastase Buciuta: Come from abroad to operate in Romania, while we always complain that we doctors leave to work abroad. Why do we need professionals like you to come abroad and operate at us?
Dr. Baleanu: The reason my professional collaboration with Proestetica Bucharest Clinic was born following a proposal made by Drs Dana and Stefan Jianu, friends and fellow graduates of the Faculty of Medicine “Carol Davila” UMF Bucharest. At that meeting the professional experiences we shared was born of a collaboration project in foot surgery, considering I gained competence in this domeniude useful for patients suffering from these diseases, very common. I believe – and I am proud of it – as my medical training stays on solid as I trained as a doctor at the Faculty of Medicine in Bucharest, an institution with exceptional teachers and a severe selection. This facilitated my professional affirmation wherever I was and that I owe my teachers then.
Different working conditions of those abroad are offered in Romania?
Dr. Baleanu: Working conditions that I met at Proestetica Clinic are excellent from all points of view and compared with similar clinics abroad. I’d say more, organization and support of the clinic put patients’ interests first, setting a best and ethical human relation between doctor and patient, which makes every patient feel like family. What have you learned working in Italy and you could not learn here?
Dr. Baleanu: Fate made me establish with my wife in Italy in September 1990, but not for professional reasons. There were personal motivations of this gesture. I think it is enough to say that I felt and feel romanian and I am proud of my origins. I had the opportunity to become the assistant of Professor Dr. Ronconi Paolo, famous orthopedic surgery and foot biomechanics in Italy and internationally. So I learned to look at the true value foot pathology, in terms of a better understanding of the function and biomechanics that govern this area anatomical and functional fundamental to our health. I also had the opportunity to get a scholarship to study intensively in this field in 1996 from Barry University. of Po-Diatraea Medicine, Miami, Florida, USA, which put me in contact with famous surgeons leg and cutting edge techniques in the field. Later I graduated Biennial Foot Surgery Postgraduate Biomedico Campus University of Rome, obtaining a master’s degree.
You are best know for mounts surgery. How you got to this specialization?
Dr. Baleanu: I would say that my professional training in foot pathology and surgery began in 1992 and will surely continue throughout my professional life. Mounts are just one aspect of foot pathology, but one of the most frequent pathologies is natural to talk over this chapter.
But we who we want to operate the mounts, how we got in this situation? It is a disease of our century?
Dr. Baleanu: There is not a “disease of the century” but raising the population to foot problems highlighted this condition. This disease, in which the thumb to the other fingers foot drifts, is based in 95% of cases a genetic predisposition, hereditary-familial. There are a number of common factors that make them manifest and early prevalent in women. Obviously elegant high-heeled shoes and tight ends are part of the precipitating factors of foot deformity. On the other hand, women with a requirement of great elegance and living in a culture where women’s shoe is seen as a fashion accessory and not as an object necessary comfort and good foot motor function, it is clear that the first symptoms appear to womens.
Postoperative pain control and fear which is absolutely unjustified – in these circumstances the advanced surgical technique – and if you choose the correct protocol and peripheral anesthesia appropriate analgesic pharmacotherapy.
And recovery is … How hard?
Dr. Baleanu: Recovery time is quite fast and effective period “unsympathetic” to the patient lasts 20 days, when strictly needed rest at home.
And finally solve surgery? It is a difficult operation and 100% chance of success?
Dr. Baleanu: Modern techniques of anesthesia, surgery and osteosynthesis allow optimal correction, we usually painful and permanent deformity of the foot. Surgery current deformation year-tepiciorului must keep in mind that a good and lasting correction can be achieved only through reconstructive surgery in which joints will be re-routed through the axis physiological segmental osteotomies that allow movement of bone segments in the correct position with capsulo-ligament rebalancing to restore satisfactory stability and functionality. There are mathematical parameters to be evaluated in the planning of surgical corrections. Today it is no longer acceptable to use outdated techniques in the treatment of these diseases, with joint demolition senseless and without basic biomechanics.
Failures feared patients can be avoided by proper diagnosis and a rational choice of surgical technique. Trebuiesa postoperative pain control and fear that becomes BSol unjustified – in these circumstances the advanced surgical technique – and if you choose the correct protocol and peripheral anesthesia appropriate analgesic pharmacotherapy.
In conclusion, I would say that there are four basic points to remember:
- Mounts is a deformity of the thumbs of the feet that can only be corrected surgically.
- Surgery and postoperative evolution is absolutely painless and allow sufficient travel the day after surgery.
- In expert hands, surgery corrective solve modern Monte painless, with excellent, durable and stable in terms of functional and aesthetic
- Treatment is preferred in moderate forms to prevent joint degeneration and progressive deformation of all the toes.
And operations are equally or more cases may differ between them?
Dr. Baleanu: In every case that I have to solve try to understand what is the most appropriate solution to solve in a stable and lasting problem that the patient has. There are many techniques
Surgery that apparently the same purpose, but is applied in detail certain specific cases.
It is important to choose the right technique sometimes combine several techniques to get the best result. Regarding correction surgery there are no mathematical and trigonometry parameters that must be considered in preoperative planning. There are various types of mounts: valgus, rigid, lime, and combinations of these options without having to discuss the problems of foot posture and superjacent segments: ankle, knee, spine. In the case of scoliosis, for example, mounts are asymmetrical due to the different behavior of right and left leg due to the torsion of the spinal column and the pelvis.
The exam for mounts involves a comprehensive assessment of the patient in all respects as Monte is a symptom of a dysfunction; surgical correction eliminates the symptom and not the intrinsic causes. Prevention of relapse depends on certain factors that can be eliminated and controlled through lifestyle behavior change and attention to their feet. Have you ever been a patient in surgery? How was it to go to the other side of the barricade?
Dr. Baleanu: I believe that the doctor-patient ratio is not regarded as a war or Doctor Michael Baleanuo dispute, so I do not have to mention the “barricades”, but rather a partnership. The patient has the right to choose and it’s good to trust your doctor. Also, the doctor has a duty to put the patient’s interests ahead of other interests. Usually when this dialog is good things go towards solving the problem.
What is the hardest thing in your profession?
Dr. Baleanu: The hardest thing is to stay grounded and keep professional enthusiasm without you think omniscient and infallible. Excess can lead to safety during to presumption and superficiality and who pays it is primarily the patient.
But the most beautiful, most pleasant?
Dr. Baleanu: The most pleasurable thing in my job is patient satisfaction to treatment outcome. I say that patients give doctors medals them medals doctor first patients, not colleagues. On the other hand, patient information simply and intelligibly about disease and about treatment modalities promote good collaboration between physician and patient, which is fundamental to avoid complications or treatment failure.