关节镜下Lapidus 手术。
The arthroscopic Lapidus procedure.
机构信息
AZ Groeninge, B. Vercruysselaan 5, 8500 Kortrijk, Belgium.
出版信息
Foot Ankle Surg. 2011 Mar;17(1):25-8. doi: 10.1016/j.fas.2009.12.002. Epub 2010 Jan 6.
BACKGROUND
Hypermobility of the first metatarsocuneiform (MC) joint is one of the causes believed to contribute to symptomatic hallux valgus. An arthrodesis of the first MC joint offers definitive correction of the intermetatarsal angle. This procedure can be associated with pseudoarthrosis and shortening of the first ray. This study presents our experience and results with an arthroscopic technique for performing this arthrodesis.
MATERIALS AND METHODS
Five patients with severe hallux valgus associated with hypermobility of the first MC joint were treated with this operation.
RESULTS
The functional assessment scales revealed very good results. Radiographic evaluation confirmed fusion in all the patients. The hallux valgus angle improved by 25.6°, the intermetatarsal angle improved by 10.6°. The shortening of the first ray was limited to 2.7 mm.
CONCLUSION
This new technique is a valid option for performing an arthrodesis of the MC joint.
背景
第一跖楔关节的过度活动被认为是导致拇外翻症状的原因之一。第一跖楔关节融合术可以提供跖骨间角的确定性矫正。该手术可能会出现假关节和第一跖骨缩短。本研究介绍了我们应用关节镜技术治疗这种融合术的经验和结果。
材料与方法
5 例严重拇外翻伴第一跖楔关节过度活动的患者接受了该手术。
结果
功能评估量表显示出非常好的结果。影像学评估证实所有患者均融合。拇外翻角改善了 25.6°，跖骨间角改善了 10.6°。第一跖骨缩短限制在 2.7mm 以内。
结论
这种新技术是治疗跖楔关节融合术的有效选择。
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