London Barry P, Stern Stephen F, Quist Mark A, Lee Robert K, Picklesimer Edison K
Northern Virginia Podiatric Residency Program/Inova Fairfax Hospital, Vienna, USA.
J Foot Ankle Surg. 2003 Jan-Feb;42(1):36-42. doi: 10.1053/jfas.2003.50008.
A long-term retrospective review of a long oblique distal osteotomy of the fifth metatarsal for correction of a tailor's bunion deformity is presented. The technique, results, and follow-up of this procedure are described. The long oblique distal osteotomy was performed on 25 feet on 16 patients. Follow-up ranged from 11 to 110 months with an average of 64.4 months. The average preoperative intermetatarsal 4-5 angle and lateral deviation angle improved from 10.88 degrees and 4.24 degrees, respectively, to 5.52 degrees and -4.24 degrees postoperatively, respectively. A modified scoring scale for lesser metatarsal procedures was used, showing an average postoperative score of 94 out of 100 possible points. Subjectively, 96% (24 of 25) of feet that underwent surgery were rated as excellent or good. Complications included one patient with paresthesias, one soft-tissue infection, and 2 patients had irritation from screws. The authors conclude that the long oblique distal osteotomy is a viable alternative in the correction of tailor's bunion deformity.
本文对用于矫正拇囊炎畸形的第五跖骨远端长斜形截骨术进行了长期回顾性研究。描述了该手术的技术、结果及随访情况。对16例患者的25只脚实施了长斜形远端截骨术。随访时间为11至110个月，平均64.4个月。术前第4、5跖骨间平均角度和外侧偏斜角分别从10.88度和4.24度，术后分别改善至5.52度和 -4.24度。采用了改良的小跖骨手术评分量表，术后平均得分为100分中的94分。主观上，接受手术的脚中96%（25只中的24只）被评为优或良。并发症包括1例感觉异常患者、1例软组织感染，2例患者出现螺钉刺激。作者得出结论，长斜形远端截骨术是矫正拇囊炎畸形的一种可行替代方法。
