[1]申杨勇 白子兴 陈京峰 崇辉 李治斌 吴长喜 孙建峰△.第一跖骨远端截骨结合可吸收钉内固定治疗外翻疗效观察[J].中国中医骨伤科杂志,2021,29(04):47-51.
　SHEN Yangyong BAI Zixing CHEN Jingfeng CHONG HuiLI Zhibin WU Changxi SUN Jianfeng.Clinical Observation for Distal Osteotomy with Absorbable NailsFixation in Treating Moderate Hallux Valgus of the 1st Metatarsal[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(04):47-51.
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第一跖骨远端截骨结合可吸收钉内固定治疗外翻疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年04期
页码:
47-51
栏目:
临床报道
出版日期:
2021-04-15

文章信息/Info

Title:
Clinical Observation for Distal Osteotomy with Absorbable NailsFixation in Treating Moderate Hallux Valgus of the 1st Metatarsal
文章编号:
1005-0205(2021)04-0047-05
作者:
申杨勇1 白子兴2 陈京峰1 崇辉1 李治斌1 吴长喜1 孙建峰1△
1中国中医科学院西苑医院骨伤科(北京,100091)
2中国中医科学院望京医院骨关节2科
Author(s):
SHEN Yangyong1 BAI Zixing2 CHEN Jingfeng1 CHONG Hui1LI Zhibin1 WU Changxi1 SUN Jianfeng1△
1Department of Orthopedic and Trauma Surgery,Xiyuan Hospital of China Academy of Chinese Medicine Sciences,Beijing 100091,China; 2Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
拇外翻;  畸形;  截骨术;  可吸收钉
Keywords:
hallux valgus;  abnormalities;  osteotomy;  absorbable nail
分类号:
R682.1
文献标志码:
B
摘要:
目的:探讨第一跖骨远端截骨结合可吸收钉内固定术治疗外翻的方法及临床疗效。方法:回顾性分析自2015年1月至2019年3月行第一跖骨远端截骨结合可吸收钉内固定手术治疗的37例(62足)外翻病例资料。随访6～24个月,通过美国足踝外科学会Maryland评分系统(Maryland Foot Score,MFS)评分,评价拇外翻术后畸形纠正情况、优良率及并发症发生率。结果:所有病例手术均顺利完成,术后外翻角(HVA)10.6°～20.2°(15.1°±5.3°)较术前25.2°～40.5°(34.5°±5.4°)明显减小,外翻畸形明显矫正; 第一、二跖骨间夹角(IMA)6.8°～10.1°(6.2°±2.7°)较术前11.3°～15.3°(12.8°±3.3°)恢复正常范围,差异有统计学意义(P<0.05),临床疗效满意。未出现截骨端不愈合、畸形复发及感染等并发症。结论:第一跖骨远端截骨结合可吸收钉内固定术治疗外翻具有手术时间短、固定可靠、可有效维持术后矫正状态、恢复快、矫形满意等优点,值得临床推广应用。
Abstract:
To explore the method and clinical effect of distal metatarsal osteotomy combined with absorbable nails internal fixation for moderate hallux valgus.Methods:Retrospectively analysis of hallux valgus case data of 37 cases(62 feet)with the treatment of distal osteotomy of the 1st metatarsal combined with absorbable nails from January 2015 to March 2019 was carried out.The follow-up period was 6 to 24 months.The Maryland Foot Score(MFS,score of the American Academy of Foot and Ankle Surgery)was used to evaluate the correction of deformity,excellent rate.The incidence of complications after hallux valgus was documented.Results:The surgery was successfully completed in all cases.The postoperative HVA angle of 10.6° to 20.2°(15.1°±5.3°)was significantly reduced compared with 25.2° to 40.5°(34.5°±5.4°)before surgery.Hallux valgus deformity was significantly corrected.The IMA angle of 6.8° to 10.1°(6.2°±2.7°)returned to normal from 11.3° to 15.3°(12.8°±3.3°)before surgery(P<0.05).The clinical effect was satisfactory.There were no complications such as nonunion of the osteotomy,recurrence of deformity and infection.Conclusion:Treatment of moderate hallux valgus with distal metatarsal osteotomy combined with absorbable nails internal fixation has the advantages of short operation time,firm fixation,effective maintenance of postoperative correction status,fast recovery and satisfactory orthopedic value,which is worthy of clinical application.

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备注/Memo

备注/Memo:
△通信作者 E-mail:Drsjf@sohu.com
更新日期/Last Update: 2021-04-15