摘要
[目的]探讨跖骨颈斜行截骨内翻嵌插固定治疗疼痛性母外翻畸形的疗效。[方法]回顾该术式治疗36例(52足)疼痛性母外翻患者的临床资料,随访时限为2 a。手术前后均摄双足正侧位X线片,测量母外翻角及第1、2跖骨间夹角以判定畸形程度。并采用足部疾患治疗效果JOA评分并进行患足功能评分以评价其临床疗效。对该术式的适应证和并发症亦作了一定的探讨。[结果]术后骨愈合满意,无延迟愈合及不愈合情况,皮肤感染2例3足。术后2 a与术前相比,患者的母外翻角及第1、2跖骨间夹角平均矫正15.6°和4.2°,JOA评分提升29.6分。[结论]跖骨颈斜行截骨内翻嵌插固定可三维立体矫正母外翻畸形,是治疗疼痛性母外翻畸形的良好选择。
[ Objective] To assess the success of hallux valgus surgery of oblique and impaction osteotomy of first metatarsal neck. [Method] The outcome of 36 patients （45 feet） treated by this technique for symptomatic hallux valgus deformity was reviewed. The follow-up was two years. Lateral and AP radiographs were taken in a standing position pre-and postoperativly and hallux valgus angle （HV angle） and intermetatarsal angle （IM 1-2 angle） were measured accordingly. The efficacy of the surgery was evaluated by JOA scoring for foot disorders. [ Result] The fracture healing was excellent. There was no case of delay union and nonunion. Two cases （three feet） were found to have superficial infection. The mean HV angle and IM 1-2 angle was revised by 15.6° and 4. 2° respectively. JOA score was elevated for 29. 6 points. [Conclusion] Hallux valgus can be corrected in three-dimension by the technique of first metatarsal neck osteotomy and inverted impaction fixation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第1期36-38,共3页
Orthopedic Journal of China
关键词
踇外翻
跖骨颈
截骨术
Hallux valgus
First metatarsal neck
Osteotomy
