摘要
Abstract
Objective To compare the clinical efficacy of Akin combined with Chevron osteotomy with Akin combined with Scarf osteotomy for the correction of hallux valgus. Methods 40 cases of patients (80 feet) with moderate-to-severe hallux valgus deformity treated in our hospital from March 2015 to October 2016 were selected for the study, and divided into the observation group (n=22, with 44 feet, given Akin osteotomy and Chevron osteotomy) and the control group (n=18, with 36 feet, given Akin osteotomy and Scarf osteotomy) according to the different treatment methods. Follow-up of 1 years after operation, and the efficacy was assessed according to the American Orthopaedic Foot and Ankle Society (AOFAS) standard, and the visual analogue scale (VAS) was used to assess the callosum pain degree within 2 months after operation, and the hallux valgus angle (HVA), the first and second intermetatarsal angle (IMA), the distal metatarsal articular angle (DMAA) and AOFAS score were compared between the two groups before and after operation, and the patient satisfaction was compared, and the occurrence of complications was recorded. Results The good rate of deformity correction in the observation group was 93.18％, which was lower than 94.44％ of the control group, and the difference was not statistically significant(P>0.05). The scores of VAS[(2.10 + 0.30) and (1.25 + 0.18)] in the observation group after 1 and 2 months was significantly lower than that of the control group [(3.45 + 0.41) and (2.67 + 0.34)], the difference was statistically significant (P<0.01). There was no significant difference in HVA, IMA and DMAA among the two groups after 1 years of operation(P>0.05). There was no significant difference in AOFAS scores between the two groups after the operation(P>0.05). The satisfaction of the patients in the observation group was higher than that of the control group(P<0.01). There were no serious complications in the two groups. Conclusion Akin and Chevron osteotomy has the similar efficacy with Akin and Scarf osteotomy in the treatment of moderate-to-severe HV patients, but the former one has low pain degree within 2 months after operation with good patient satisfaction, therefore it is suitable for clinical promotion and application.关键词
拇外翻/矫正/Akin截骨术/Chevron截骨术/Scarf截骨术/满意度Key words
hallux valgus/correction/Akin osteotomy/Chevron osteotomy/Scarf osteotomy/satisfaction分类
医药卫生
