Miller J W
J Bone Joint Surg Am. 1975 Mar;57(2):183-8.
Acquired hallux varus deformity of either the static or the dynamic type results from surgery to correct hallux valgus deformity and the accompanying bunion. The dynamic type is disfiguring, uncomfortable, and disappointing to the patient and surgeon alike. Linear as well as rotational forces are at work to produce the deformity. When recognized early, before fixation of the first digit has occurred in the deviated and clawed position, resection of the base of the proximal phalanx will correct the deformity. More radical treatment is required in the patient who is treated late. The experience with seven feet of five patients with acquired hallux varus deformity is presented here.
无论是静态还是动态类型的获得性拇内翻畸形,都是由矫正拇外翻畸形及伴随的拇囊炎的手术引起的。动态类型既影响美观,又让患者不适,对患者和外科医生来说都令人失望。线性力和旋转力都在起作用,导致畸形的产生。如果在第一趾固定于偏斜和爪状位置之前早期发现,切除近节趾骨基部可矫正畸形。对于治疗较晚的患者,则需要更彻底的治疗。本文介绍了5例获得性拇内翻畸形患者7只脚的治疗经验。