石守印 1周敏 2海拉提·巴合提 1孙俊刚 1徐江波1
作者信息
- 1. 新疆维吾尔自治区人民医院骨科中心,新疆 乌鲁木齐,830001
- 2. 新疆生产建设兵团医院神经外科,新疆 乌鲁木齐,830000
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摘要
Abstract
Objective To investigate the clinical effect of Scarf rotation osteotomy combined with lateral soft tissue release through single incision in the treatment of moderate and severe hallux valgus.Methods A retrospective analysis was performed on the data of 50 patients(62 feet)with moderate to severe hallux valgus deformity who were treated with single-incision Scarf rotation osteotomy combined with lateral soft tissue release in the Orthopedic Center of the People's Hospital of Xinjiang Uygur Autonomous Region from January 2016 to January 2022.Among them,there were 3 males and 47 females,with an average age of(40.5±10.5)years old(range,24-77 years old).There were 18 left feet,22 right feet,and 11 feet of both sides.The hallux valgus angle(HVA),intermetatarsal angle(IMA),and distal metatarsal articular angle(DMAA)were compared before and at the last follow-up after surgery.The American Orthopedic Foot and Ankle Society forefoot scoring criteria(AOFAS)and visual analogue scale(VAS)were used to evaluate the efficacy and postoperative complications.Results The patients in this group were followed up for 12 to 24 months after surgery,with an average of(12.0±3.2)months.All cases achieved primary bone union at the osteotomy site,and the postoperative correction effect was satisfactory,without complications such as deformity recurrence,metatarsal head necrosis,and hallux varus deformity.Two patients experienced partial stiffness of the metatarsophalangeal joints,but did not complain of other discomforts.One patient had redness and swelling of the soft tissue around the incision on the 5th day after surgery.The symptoms disappeared after the dressing was changed in the outpatient clinic.At the last follow-up,the HVA,IMA,DMAA were significantly improved after surgery compared with preoperative,and the difference was statistically significant(P<0.05).At the last follow-up,the AOFAS was significantly increased after surgery compared with preoperative,VAS was significantly decreased after surgery compared with preoperative,and the difference was statistically significant(P<0.05).Preoperative AOFAS score:excellent in 0 feet,good in 4 feet,fair in 54 feet poor in 4 feet,the AOFAS score at the last follow-up was excellent in 55 feet,good in 5 feet,fair in 2 feet,and poor in 0 feet,and the difference was statistically significant(P<0.05).Conclusion The single-incision Scarf rotation osteotomy combined with lateral soft tissue release for the treatment of moderate to severe hallux valgus deformity has the characteristics of fewer surgical incisions,fewer postoperative complications,significant improvement in imaging angles,and high patient satisfaction,and has clinical promotion value.关键词
中重度拇外翻畸形/单切口/Scarf旋转截骨/外侧软组织松解Key words
Moderate to severe hallux valgus deformity/single incision/Scarf rotation osteotomy/lateral soft tissue release分类
医药卫生
