Di Giorgio Luigi, Touloupakis Georgios, Simone Simonetta, Imparato Luca, Sodano Luca, Villani Ciro
Dipartimento di Scienze dell' Apparato Locomotore, Policlinico Umberto I, Universita' Sapienza, Roma, Italy.
J Orthop Surg (Hong Kong). 2013 Apr;21(1):47-50. doi: 10.1177/230949901302100113.
To report the midterm outcome of the Endolog system for correction of moderate-to-severe hallux valgus.
23 women and 2 men (33 feet) aged 35 to 80 (mean, 52) years underwent minimally invasive surgery for moderate (n=25) and severe (n=8) hallux valgus using the Endolog system. The hallux valgus angle (HVA), the intermetatarsal angle (IMA), and the proximal articular set angle (PASA) were measured on radiographs. The feet were also assessed based on the American Orthopaedic Foot and Ankle Society (AOFAS) scale.
The mean follow-up duration was 18.2 (range, 12-36) months. The mean HVA, IMA, PASA, and the mean AOFAS score improved significantly after surgery (all p<0.0001). Periosteal reaction was noted by week 4, and callus formation after 3 months. There were no delayed or non-union or other complications.
The Endolog system achieved good outcome for moderate-to-severe hallux valgus.
报告Endolog系统矫正中重度拇外翻的中期结果。
23名女性和2名男性（共33足），年龄35至80岁（平均52岁），使用Endolog系统接受了针对中度（n = 25）和重度（n = 8）拇外翻的微创手术。在X线片上测量拇外翻角（HVA）、跖间角（IMA）和近端关节固定角（PASA）。还根据美国矫形足踝协会（AOFAS）评分对足部进行评估。
平均随访时间为18.2（范围12 - 36）个月。术后平均HVA、IMA、PASA以及平均AOFAS评分均有显著改善（均p < 0.0001）。术后4周可见骨膜反应，3个月后有骨痂形成。未出现延迟愈合、不愈合或其他并发症。
Endolog系统在矫正中重度拇外翻方面取得了良好效果。
