Gregory J L, Childers R, Higgins K R, Krych S M, Harkless L B
Department of Orthopedics/Podiatry, University of Texas Health Science Center, San Antonio.
J Foot Surg. 1990 Jul-Aug;29(4):369-74.
A retrospective analysis of arthrodesis of the first metatarsophalangeal joint was done to determine the procedure's long-term subjective and objective results. The authors reviewed the long-term results of arthrodesis in 25 patients with 32 operated feet. The average age was 54.8 years (range 22 to 72 years), and the average length of follow-up was 31.9 months (range 12 to 84 months). The patients were questioned regarding pain, activity, cosmesis, and willingness to have the operation performed again. The subjective results were good or excellent in 26 feet (81% success rate). The primary postoperative complaints were pain in the interphalangeal joint (four feet), and a callosity or pain under the first metatarsal head (four feet). Radiographic examination revealed that the procedure provided a good reduction of the hallux valgus angle (preoperative average 33.7 degrees; postoperative average 17.4 degrees) and intermetatarsal angle (preoperative average 16.2 degrees; postoperative average 12.0 degrees). The authors believe that this procedure is a reliable, effective treatment whenever stability is required at the first metatarsophalangeal joint.
对第一跖趾关节融合术进行回顾性分析，以确定该手术的长期主观和客观结果。作者回顾了25例患者32只接受手术足的关节融合术长期结果。平均年龄为54.8岁（范围22至72岁），平均随访时间为31.9个月（范围12至84个月）。就疼痛、活动能力、美观及是否愿意再次接受手术等问题对患者进行询问。主观结果显示，26只足效果良好或极佳（成功率81%）。术后主要主诉为趾间关节疼痛（4只足），以及第一跖骨头下胼胝或疼痛（4只足）。影像学检查显示，该手术能有效减小拇外翻角（术前平均33.7度；术后平均17.4度）和跖间角（术前平均16.2度；术后平均12.0度）。作者认为，只要第一跖趾关节需要稳定，该手术就是一种可靠、有效的治疗方法。
