中国骨伤2018，Vol.31Issue(3)：213-216,4.DOI:10.3969/j.issn.1003-0034.2018.03.004
内侧单切口改良Chevron截骨联合关节外侧组织松解治疗轻中度拇外翻临床观察
Clinical effect modified Chevron osteotomy combined with lateral tissue loosening in treating mild-moderate hallux valgus through internal signal approach
陈学强 1吴群峰 1董卫芹 1俞立新 1李雄峰2
作者信息
- 1. 解放军第98医院骨三科,浙江湖州313000
- 2. 湖州市中心医院足踝外科,浙江湖州313000
- 折叠
摘要
Abstract
Objective:To explore clinical effect of modified Chevron osteotomy combined with lateral tissue loosening for the treatment of mild-moderate hallux valgus through internal signal approach.Methods:From July 2015 to June 2016,26 patients with mild-moderate hallux valgus treated with modified Chevron osteotomy combined with lateral tissue loosening through internal signal approach,including 2 males and 24 females aged from 45 to 65 years old with an average of (54.6±4.8) years old;the courses of diseases ranged from 1 to 5 months with an average of (7.5±3.3) months.Hallux valgus angle (HVA),inter metatarsal angle (IMA) were measured at 12 months after operation,and AOFAS score was applied to evaluate clinical effect before and after operation.Results:All incisions were healed at stage Ⅰ.No incision occurred infection,metatarsal necrosis and recurrence of hallux valgus deformity.Two patients occurred skin numbness caused by musculocutaneous nerve injury.Twenty-six patients were followed up from 6 to 12 months with an average of (9.12±2.06) months.HVA,IMA were (30.01± 3.71)°,(14.00±1.50)° before operation and (9.41±4.16)°,(7.00±0.60)° after operation,which had significant difference.There was statistical significance in AOFAS score before operation 54.77±9.59 and after operation 92.73±5.47,and 19 cases obtained excellent results and 7 moderate.Conclusion:Modified Chevron osteotomy combined with full thread headless pressure screw fixation and lateral tissue loosening for the treatment of mild-moderate hallux valgus has advantages of excellent exposure,simple operation,stable fixation,rapid recovery.Akin osteotomy with internal capsulorrhaphy were used with lateral loosening and could recover soft tissue balance between lateral and internal,and could receive satisfied clinical effects.关键词
拇外翻/截骨术/关节囊松解术Key words
hallux valgus/Osteotomy/Joint capsule release引用本文复制引用
陈学强,吴群峰,董卫芹,俞立新,李雄峰..内侧单切口改良Chevron截骨联合关节外侧组织松解治疗轻中度拇外翻临床观察[J].中国骨伤,2018,31(3):213-216,4.
