改良Chevron截骨术联合拇收肌切断术治疗轻中度拇外翻

余 磊; 左进步; 宋立琨

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武警医学 ›› 2016, Vol. 27 ›› Issue (10) : 994-996.

论著

改良Chevron截骨术联合拇收肌切断术治疗轻中度拇外翻

余磊¹,左进步¹,宋立琨²

作者信息 +

Modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus

YU Lei¹, ZUO Jinbu¹, and SONG Likun²

Author information +

文章历史 +

摘要

目的评估改良Chevron截骨术联合

收肌切断术治疗轻中度

外翻患者的手术效果。方法对符合观察条件的36例(50足)患者进行了临床手术资料的回顾性观察,对其手术前后资料进行整理,并通过美国足踝外科协会

趾-跖趾-趾间关节评分 (AOFAS)和视觉模拟评分(VAS)对手术效果进行量化比较。结果随访及评分结果显示,所有患者术后

外翻症状有了很大改观,术后未出现感染、跖骨头坏死、愈合不良等并发症。HVA由术前(31.1°±4.3°)降至术后(14.8°±2.9°),差异有统计学意义(P<0.05);IMA由术前(14.5°±3.4°)降至术后(7.4°±2.5°),差异有统计学意义(P<0.05);AOFAS评分由术前(48.7±7.0)分升至术后(85.1±5.7)分,差异有统计学意义(P<0.05)。功能评级优26足,良19足,中5足,优良率90%。结论选择改良后的手术术式进行

外翻畸形的矫正治疗,效果显著,值得临床推广。

Abstract

Objective To evaluate the clinical effect of modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus by observing patients’recovery and prognosis. Methods The pre-operative and post-operative clinical data of 36 cases of mild or moderate hallux valgus (50 feet) were analyzed retrospectively. The AOFAS and VAS for the effect of operation were quantified. Results The scores and follow-up results showed that postoperative hallux valgus symptoms of all the patients had greatly improved. No wound infection, necrosis of the metatarsal head or nonunion was observed. The mean pre-operative HVA was 31.1°±4.3°, but was decreased to 14.8°±2.9°(P<0.05) post-operatively. IMA was decreased from 14.5°±3.4° to 7.4°±2.5°(P<0.05). The mean AOFAS score was improved from 48.7±7.0 points to 85.1±5.7 points(P<0.05).According to the performance assessment, 20 cases (26 feet) were excellent, 12 (19 feet) were good, and 4 cases (5 feet) were average, with an excellent and good rate of 90%. Conclusion The modified Chevron osteotomy combined with adductor pollicis amputation can be used in the treatment of mild or moderate hallux valgus to a good. effect This approach is worthy of improvement and clinical application .

导出引用

余磊,左进步,宋立琨. 改良Chevron截骨术联合拇收肌切断术治疗轻中度拇外翻[J]. 武警医学. 2016, 27(10): 994-996

YU Lei, ZUO Jinbu, and SONG Likun. Modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus[J]. Medical Journal of the Chinese People Armed Police Forces. 2016, 27(10): 994-996

中图分类号： R684.2

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