Hangody L, Fejérdy G, Tóth F
Fövárosi Tanács Weil Emil Kórház-Rendelöintézet Ortopéd-Traumatológiai Osztályának.
Magy Traumatol Orthop Helyreallito Seb. 1991;34(2):95-101.
Authors review briefly the development of the principles of metatarsal osteotomies and the basic concepts that seem to be the most suitable in the choice of the type and execution of the operation. The effectiveness of the surgical treatment is stressed if the following viewpoints are considered: 1. Synchronous correction of the rays II, III, and IV. 2. Simultaneously achieved abbreviation and forming of the arch. 3. Instead of internal fixation transversal lifting bandage with early weight bearing. The finding, according which, beside the telescope osteotomy of Helal, Wolf's metatarsal osteotomy with axial deviation is also a valuable alternative, is supported by the follow-up of their own 2 years material.
作者简要回顾了跖骨截骨术原则的发展以及在手术类型选择和实施中似乎最合适的基本概念。如果考虑以下观点，手术治疗的有效性将得到强调：1. 第二、三、四跖骨同步矫正。2. 同时实现足弓缩短和塑形。3. 采用横向提拉绷带代替内固定并早期负重。根据对自身两年资料的随访结果支持了这一发现，即除了Helal的套筒式截骨术外，Wolf的带轴向偏差的跖骨截骨术也是一种有价值的替代方法。
