Pehlivan Ozcan, Akmaz Ibrahim, Solakoglu Can, Kiral Ahmet, Kaplan Haluk
Department of Orthopaedics and Traumatology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey.
J Am Podiatr Med Assoc. 2004 Jan-Feb;94(1):43-6. doi: 10.7547/87507315-94-1-43.
Twenty-six patients with moderate-to-severe hallux valgus deformities were evaluated before and after treatment. All of the patients had incongruent great toe joints. The patients underwent modified proximal crescentic osteotomy, which was termed proximal oblique crescentic osteotomy. The results were evaluated at an average follow-up time of 55 weeks. Objective criteria were hallux valgus angle, intermetatarsal angle, shortening of the first metatarsal, and angulation at the osteotomy site. Clinical evaluation was made according to the rating system of the American Orthopaedic Foot and Ankle Society. The mean correction of the hallux valgus and intermetatarsal angles was 22.1 degrees and 9.9 degrees, respectively. Short-term results indicate that proximal oblique crescentic osteotomy is effective in the treatment of hallux valgus; its advantages over other procedures include its technical ease and low rate of complications.
对26例中重度拇外翻畸形患者在治疗前后进行了评估。所有患者的拇趾关节均不匹配。这些患者接受了改良近端新月形截骨术，即近端斜向新月形截骨术。在平均随访55周时对结果进行了评估。客观标准包括拇外翻角、跖间角、第一跖骨缩短以及截骨部位的成角情况。根据美国矫形足踝协会的评分系统进行临床评估。拇外翻和跖间角的平均矫正分别为22.1度和9.9度。短期结果表明，近端斜向新月形截骨术治疗拇外翻有效；与其他手术相比，其优点包括技术操作简便和并发症发生率低。
