Briggs T W, Smith P, McAuliffe T B
Royal National Orthopaedic Hospital, Stanmore, Middlesex, England.
J Bone Joint Surg Br. 1992 Jan;74(1):137-9. doi: 10.1302/0301-620X.74B1.1732243.
We present the results of a prospective trial of osteotomy of the metatarsal neck for hallux valgus in 31 feet of 23 women, using a new stapling device with no plaster splintage and early weight-bearing. Surgery was performed for pain (29 feet) and difficulty with footwear (nine feet). The average time for return to light work was 3.3 weeks, and to full work 8.3 weeks after operation. Seventeen patients had full recovery within three months and 21 of the 23 patients had complete relief of pain. Shoes were more comfortable in 17 feet and 9 patients could wear narrower shoes. Only two patients were unsatisfied with the appearance of the foot. All the osteotomies united, and the average hallux valgus angle was improved on radiographs from 35 degrees to 23 degrees. The mean first metatarsal angle was reduced from 16 degrees to 11 degrees. The new technique allows more accurate surgery and easier postoperative management.
我们展示了一项针对23名女性31足拇外翻进行跖骨颈截骨术的前瞻性试验结果，该试验使用了一种新型吻合器，无需石膏固定且可早期负重。手术针对疼痛（29足）和穿鞋困难（9足）进行。术后恢复轻松工作的平均时间为3.3周，恢复全职工作的平均时间为8.3周。17名患者在三个月内完全康复，23名患者中有21名疼痛完全缓解。17足穿鞋更舒适，9名患者可以穿更窄的鞋子。只有两名患者对足部外观不满意。所有截骨均愈合，X线片显示拇外翻平均角度从35度改善至23度。第一跖骨平均角度从16度降至11度。新技术使手术更精确，术后管理更轻松。
