Dorris M F, Mandel L M
Department of Surgery, Lakeside Hospital, Kansas City, Missouri.
J Foot Surg. 1991 May-Jun;30(3):269-75.
A variety of surgical procedures traditionally have been employed in the treatment of tailor's bunions and sub-fifth metatarsal head keratomas. The overwhelming majority of literature on this subject evaluates the advantages and disadvantages of various fifth metatarsal osteotomies. The authors have initiated a preliminary investigative study to evaluate the effectiveness of fifth metatarsal head resection and to compare these results with those of other studies that have focused on osteotomy techniques. Subjective and objective analyses of 50 procedures (34 patients) were performed retrospectively. Patients were either satisfied or very satisfied in 84% of the cases reviewed. Symptomatic transfer lesions occurred in only 3% of all feet examined. The most frequent postoperative complication was that of fifth digital malalignment, which presented in nearly 60% of the cases. The procedure possesses advantages and disadvantages, which prior to this study, have been discussed in anecdotal fashion only.
传统上，多种外科手术已被用于治疗裁缝拇囊炎和第五跖骨头下的角质瘤。关于这个主题的绝大多数文献都在评估各种第五跖骨截骨术的优缺点。作者开展了一项初步调查研究，以评估第五跖骨头切除术的有效性，并将这些结果与其他专注于截骨术技术的研究结果进行比较。对50例手术（34例患者）进行了回顾性的主观和客观分析。在所审查的病例中，84%的患者表示满意或非常满意。有症状的转移性病变仅出现在所有检查足部的3%中。最常见的术后并发症是第五趾畸形，几乎60%的病例出现了这种情况。该手术有优点也有缺点，在本研究之前，仅以传闻的方式进行过讨论。
