Hanft J R, Kashuk K B, Bonner A C, Toney M, Schabler J
Department of Podiatric Surgery, Larkin General Hospital, South Miami, Florida.
J Foot Surg. 1992 Sep-Oct;31(5):512-8.
One of the adaptations of the Herbert bone screw (Zimmer Corp., Warsaw, Indiana) in podiatric surgery has been in the fixation of the Austin type osteotomy of the first metatarsal, to obtain rigid internal fixation. Technical difficulties in performing the procedure and complications have resulted in the development of several modifications of the original technique to better facilitate application of the Herbert screw. A brief review of the literature including history of distal metaphyseal osteotomies, and the uses of the Herbert screw is included. The purpose of this manuscript is to present utilization of the Herbert bone screw and modified jig in a modified Austin osteotomy, and to produce rigid internal fixation without the disadvantages of other internal fixation techniques.
赫伯特接骨螺钉（齐默公司，印第安纳州华沙）在足病外科手术中的一种应用是用于第一跖骨奥斯汀型截骨术的固定，以实现坚强的内固定。该手术操作中的技术难题和并发症促使人们对原始技术进行了多种改进，以更好地便于应用赫伯特螺钉。本文包括对相关文献的简要综述，涵盖远端干骺端截骨术的历史以及赫伯特螺钉的用途。本手稿的目的是介绍赫伯特接骨螺钉和改良夹具在改良奥斯汀截骨术中的应用，并实现坚强的内固定，同时避免其他内固定技术的缺点。
