中国骨伤2011，Vol.24Issue(8)：648-651,4.DOI:10.3969/j.issn.1003-0034.2011.08.008
微创截骨治疗拇外翻合并小趾囊炎
Clinical investigation of the minimal invasive osteotomy for the treatment of hallux valgus combined with tailor's bunion
李静 1谢鸣 1勘武生 1李鲲 1方真华 1黄若昆 1赵晶晶1
作者信息
- 1. 华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北,武汉,430030
- 折叠
摘要
Abstract
Objective:To investigate the clinical effects of the minimal invasive osteotomy treatment for hallux valgus combined with tailor's bunion deformity.Methods:From May 2007 to May 2009, Forty-nine feet of 32 patients (a mean age of 57 years old) of hallux valgus combined with tailor's bunion deformity were reviewed retrospectively, including 2 males(2 feet)and 30 females(47 feet).All patients were treated by the minimal invasive osteotomy.The axial and lateral films of all feet with loading were taken before and after operation.The hallux abducto valgus angle (HAV), intermetatarsal angle (IM), fourth-fifth intermetatarsal angle (IM 4 to 5),modified fourth-fifth intermetatarsal angle (MIM 4 to 5 ), Metatarsophalangeal-fifth angle (MPA) and lateral deviation of the fifth matatarsal angle (LDA) were compared before and after operation.Therapeutic effects of all the patients were observed after operation, the item including AFAS score and WEN Jian-min's therapeutic effects standard.Results:The average operating time was 40 minutes.All the patients were followed up, and the duration ranged from 6 to 24 months.The HAV angle, IM angle, IM 4 to 5 angle, MIM 4 to 5 angle, MPA angle and LDA angle significantly decreased after operation.The AFAS score significantly raised after operation.According to the criteria, 33 feet got an excellent restlt, 15 good and 1 fair.Conclusion :The minimal invasive osteotomy treatment for hallux valgus combined with tailor's bunion is effective and safe.This method is mini-trauma,less pain and it can make a very soon rehabilitation.This method has widely clinical value.关键词
外科手术,微创性/截骨术/拇外翻/畸形Key words
Surgical procedures,minimally invasive/ Osteotomy/ Hallux valgus/ Abnormalities引用本文复制引用
李静,谢鸣,勘武生,李鲲,方真华,黄若昆,赵晶晶..微创截骨治疗拇外翻合并小趾囊炎[J].中国骨伤,2011,24(8):648-651,4.
