Maestro Michel, Besse Jean-Luc, Ragusa Mathieu, Berthonnaud Eric
Les Balcons Port de St. Laurent, 139 Avenue Mauice Donat, 06700 Saint Laurent Du Var, France.
Foot Ankle Clin. 2003 Dec;8(4):695-710. doi: 10.1016/s1083-7515(03)00148-7.
In the reconstruction of the hip, knee, or any other joint, preoperative planning is necessary for avoiding mistakes during surgery. Since 1995, the authors have been doing this before forefoot surgery to increase the accuracy of the surgery. As much as possible, they try to correct only the lesion and to avoid preventive or extensive surgery on adjacent rays, except if the correction leads to a modified dysharmonious new morphotype with high risk of transfer lesion. The tolerance length seems to be 2 mm, particularly on the middle metatarsals (M2 and M3). This surgery should be performed only if the midfoot and backfoot are correct and if the gastrocnemius muscle has been checked on to eliminate a retraction needing stretching exercises before and generally after surgery.
在髋关节、膝关节或任何其他关节的重建手术中，术前规划对于避免手术过程中出现失误是必要的。自1995年以来，作者在进行前足手术前也会进行这样的规划，以提高手术的准确性。他们尽可能只矫正病变部位，避免对相邻跖骨进行预防性或广泛性手术，除非矫正会导致出现具有转移病变高风险的不协调新形态。耐受长度似乎为2毫米，尤其是在中间跖骨（第二和第三跖骨）上。只有在中足和后足正常，并且已经检查过腓肠肌以排除需要在手术前后进行拉伸锻炼的回缩情况时，才应进行此手术。
