摘要
目的探讨趾胫侧籽骨及腓侧籽骨对趾外翻矫正手术效果的影响。方法回顾性分析2010年1月至2013年12月来我院接受近端或远端Chevron截骨矫正治疗的110例趾外翻病人。根据病人有无双侧趾籽骨分为双侧趾籽骨组(30例)和非双侧趾籽骨组(80例)。其中,双侧趾籽骨组行跖骨近端Chevron截骨矫正治疗4例,跖骨远端Chevron截骨矫正治疗26例;非双侧趾籽骨组行跖骨近端Chevron截骨矫正治疗15例,跖骨远端Chevron截骨矫正治疗65例。记录并比较两组病人术前一般资料,手术前后影像学资料测量趾外翻角、跖骨间夹角、跖骨远端关节面固有角,比较其手术前后及组间的美国足踝外科医师协会(American Orthopaedic Foot and Ankle Society, AOFAS)踝与后足功能评分。结果两组病人术后趾外翻情况均明显改善。两组病人术后的趾外翻角、跖骨间夹角、跖骨远端关节面固有角及AOFAS评分均较术前明显改善;但上述指标组间比较,差异均无统计学意义(P>0.05)。结论双侧趾籽骨对近端或远端Chevron截骨矫形治疗趾外翻畸形手术无明显影响。
Objective To investigate the effect of hallux tibial sesamoid and fibular sesamoid on hallux valgus surgery. Methods Total of 110 patients with hallux valgus treated by proximal or distal Chevron osteotomy from January 2010 to December 2013 in our hospital were retrospectively analyzed. The patients were divided into bilateral group (30 patients) and non.bilateral group (80 patients) according to whether the patients had bilateral hallux sesamoid or not. Among them, 4 cases were treated with proximal metatarsal Chevron osteotomy, and 26 cases with distal metatarsal Chevron osteotomy in bilateral hallux sesamoid group; 15 cases with proximal metatarsal Chevron osteotomy and 65 cases with distal metatarsal Chevron osteotomy in non. bilateral group. General preoperative data and imaging data (hallux valgus angle, interpalateral angle, inherent angle of distal metatarsal articular surface) before and after operation was recorded and compared between the two groups. The American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hind foot function scores in two groups were compared. Results There was no significant difference in the hallux valgus angle, metatarsal angle, and the proper angle of distal metatarsal articular surface before and after operation in the two groups (all P>0.05). There was no significant difference in AOFAS score before and after operation between two groups (both P>0.05). Conclusion Bilateral hallucal sesamoids had no significant effect on proximal or distal Chevron osteotomy for hallux valgus corrective surgery.
作者
高慧
张强
白顺宁
李康
马阳
GAO Hui;ZHANG Qiang;BAI Shun-ning;LI Kang;MA Yang(Department of Orthopaedics, Yan'an People's Hospital, Yan'an 716000, China)
出处
《骨科》
CAS
2019年第1期43-47,共5页
ORTHOPAEDICS
