Department of Trauma and Orthopaedics, Eastbourne District General Hospital, Kings Drive, Eastbourne, E Sussex BN21 2UD, United Kingdom.
Foot Ankle Surg. 2011 Mar;17(1):19-24. doi: 10.1016/j.fas.2009.12.001. Epub 2010 Jan 6.
Treatment for metatarsal head avascular necrosis is largely conservative. For severe or refractory cases there are various surgical options.
We have performed a 'modified Weil's osteotomy' of the distal metatarsal in order to manage this problem. We present the largest case series, to our knowledge, with 17 such cases. The patients were scored pre- and post-operatively using the AOFAS Forefoot scoring system.
We found that this procedure provided a mean score improvement of 36 points, with a complication rate of 5.9%.
We would advocate this modified osteotomy as an effective, reliable and safe treatment option.
跖骨头缺血性坏死的治疗主要是保守的。对于严重或难治性病例，有多种手术选择。
我们对跖骨远端进行了“改良 Weil 截骨术”，以处理这个问题。据我们所知，这是此类病例中最大的系列病例，共 17 例。患者术前和术后均采用 AOFAS 前足评分系统进行评分。
我们发现该手术可使平均评分提高 36 分，并发症发生率为 5.9%。
我们主张将这种改良截骨术作为一种有效、可靠和安全的治疗选择。
