M'Bamali E I
Br J Surg. 1975 Aug;62(8):647-50. doi: 10.1002/bjs.1800620817.
The results of modified Robert Jones operation for clawed hallux carried out on 36 feet were reviewed by clinical and radiological investigations. Twenty-nine feet (80 per cent) achieved good results while 3 feet (8-5 per cent) obtained fair results and in 4 feet (11 per cent) the results were poor. Better results were obtained in the poliomyelitis cases than in the other groups. Correction of deformity appears to be achieved by the transferred extensor hallucis longus elevating the first metatarsal neck and by the flexor hallucis longus flexing the rigid toe obtained by interphalangeal arthrodesis. Tendon regeneration which is associated with recurrent clawing remains a problem. Internal fixation should be used for the interphalangeal arthrodesis.
对36只脚实施的改良罗伯特·琼斯手术治疗爪形拇趾的结果，通过临床和影像学检查进行了回顾。29只脚（80%）取得了良好效果，3只脚（8.5%）取得了尚可的效果，4只脚（11%）效果较差。与其他组相比，脊髓灰质炎病例取得了更好的效果。畸形矫正似乎是通过转移的拇长伸肌抬高第一跖骨颈以及通过拇长屈肌屈曲经指间关节融合术获得的僵硬趾来实现的。与复发性爪形趾相关的肌腱再生仍然是一个问题。指间关节融合术应采用内固定。
