Forster Mark C, Dhar Sunil
Department of Orthopaedics, Nottingham City Hospital, Nottingham, UK.
Ann R Coll Surg Engl. 2002 Jan;84(1):43-6.
Between 1 October 1997 and 1 November 1998, 43 patients (59 feet) were treated with a standard Mitchell's osteotomy for hallux valgus. Of these, 26 patients (36 feet) were treated postoperatively in a forefoot plaster. The other 17 patients (23 feet) were treated with a wooden soled shoe. There was no significant difference between the 2 groups for age, indication for surgery, pre-operative deformity or grade of the operating surgeon. There was no significant difference in the mean time immobilised, mean time to union or complications. The patients were interviewed by telephone after a mean follow-up of 9.4 months. There was no significant difference in results between the 2 groups. This suggests that a forefoot plaster following Mitchell's osteotomy is unnecessary. Postoperative mobilisation in a wooden soled shoe can be used as an alternative.
1997年10月1日至1998年11月1日期间，43例（59足）拇外翻患者接受了标准的米切尔截骨术治疗。其中，26例（36足）患者术后采用前足石膏固定。另外17例（23足）患者采用木底鞋治疗。两组在年龄、手术指征、术前畸形或手术医生级别方面无显著差异。固定平均时间、平均愈合时间或并发症方面也无显著差异。平均随访9.4个月后通过电话对患者进行了访谈。两组结果无显著差异。这表明米切尔截骨术后使用前足石膏是不必要的。术后穿木底鞋活动可作为一种替代方法。
