Chen B X
Institute of Orthopaedics, China Academy of Traditional Chinese Medicine, Beijing.
Chin Med J (Engl). 1992 Apr;105(4):334-9.
This is a review of the treatment of hallux valgus based on the paper material submitted to the First and Second Sino-American Conferences on Foot Disorders held in Beijing in 1987 and 1990. The data consisted of 676 cases (979 feet) from 10 major hospitals in China. There were 122 men and 554 women, giving a male to female ratio of 1:45. Sixty-nine (10%) cases had a family history of hallux valgus and 120 cases (18%) were associated with hammer toe deformity. The age ranged from 16-85 years with an average of 42. Among the 412 female cases (78.5%) at the age of 20-35, 339 (82.3%) had the history of wearing high heeled and narrow tipped shoes. Osteoarthritis changes of the first M-P joint were seen in 31 cases, all above the age of 60. 615 cases (90.9%) were treated surgically for pain relief and only 25 cases (3.7%) at the age of 20-30 had the deformity corrected for cosmetic purpose. The surgical procedures employed were bunionectomy (Silver's operation, 39 feet), Keller's operation (344 feet), McBride's operation (239 feet) and a variety of osteotomies of the first metatarsal (295 feet). Joplin and Lapidus operations were used by one author in 5 and 2 cases respectively. Overall excellent and good results were obtained in 609 cases (90%) during the follow-up of 1-14 years.
本文基于1987年和1990年在北京召开的第一届和第二届中美足病会议上提交的纸质材料，对拇外翻的治疗进行综述。数据来自中国10家主要医院的676例患者（979只脚）。其中男性122例，女性554例，男女比例为1:4.5。69例（10%）有拇外翻家族史，120例（18%）合并锤状趾畸形。年龄范围为16 - 85岁，平均42岁。在412例20 - 35岁的女性患者中（78.5%），339例（82.3%）有穿高跟鞋和尖头鞋的历史。第一跖趾关节骨关节炎改变见于31例，均在60岁以上。615例（90.9%）接受手术以缓解疼痛，仅25例（3.7%）年龄在20 - 30岁的患者出于美容目的矫正畸形。采用的手术方法有拇囊炎切除术（Silver手术，39只脚）、Keller手术（344只脚）、McBride手术（239只脚）以及第一跖骨的各种截骨术（295只脚）。Joplin和Lapidus手术分别被1位作者用于5例和2例。在1 - 14年的随访中，609例（90%）总体获得了优良效果。
