Marcinko D E, Hetico H R
J Foot Surg. 1992 Nov-Dec;31(6):607-10.
Structural metatarsus adductus deformity may be corrected through the use of closing abductory base wedge osteotomies of all five metatarsals. Although technically demanding, surgical precision is increased through the use of oblique wedges and a combination of screw and cerclage wire fixation. In the severe case, an opening wedge osteotomy of the inner cuneiform (Fowler procedure), with homogenous bone implantation, may be concomitantly used. Both techniques are described in this brief case presentation.
结构性跖骨内收畸形可通过对所有五根跖骨进行闭合性外展基底楔形截骨术来矫正。尽管技术要求较高，但通过使用斜形楔形截骨以及螺钉和环扎钢丝固定相结合的方法，可提高手术精度。在严重病例中，可同时采用内侧楔骨开放性楔形截骨术（福勒手术）并植入同种异体骨。本简短病例报告将对这两种技术进行描述。
