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青年成人拇外翻手术的结果(作者译)

[Results of hallux valgus operations in young adults (author's transl)].

作者信息

Weber A

出版信息

Z Orthop Ihre Grenzgeb. 1975 Dec;113(6):1011-21.

PMID:1216982
Abstract

Compared were the results of three different hallux valgus operations (operations according to: Hohmann, Du Vries and Brandes) of young patients. As expected, the 2/3-resection according to Brandes showed unsatisfactory results, cosmetically and functionally. For this reason, this method should only be used with hallux valgus with a metatarso-phalangial joint with athrotic changes and with the polyarthritis foot. On the other hand, there can be obtained in most cases quite good results or at least satisfactory ones by the subcapital osteotomy according to Hohmann and Du Vries. The risk of a posterior metatarso-phalangial joint arthrosis seems us to be higher with the method according to Du Vries as according to Hohmann.

摘要

比较了年轻患者三种不同的拇外翻手术(分别按照霍曼、杜弗里斯和布兰德斯的方法进行手术)的结果。正如预期的那样,按照布兰德斯方法进行的2/3切除在美观和功能方面都显示出不尽人意的结果。因此,这种方法仅适用于伴有跖趾关节关节病改变的拇外翻以及多关节炎足。另一方面,在大多数情况下,按照霍曼和杜弗里斯方法进行的经跖骨头下截骨术能够取得相当好的结果,或者至少是令人满意的结果。我们认为,与霍曼方法相比,杜弗里斯方法导致跖趾关节后方关节病的风险似乎更高。

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