Geissele A E, Stanton R P
Alfred I. duPont Institute, Wilmington, DE 19899.
J Pediatr Orthop. 1990 Sep-Oct;10(5):642-8. doi: 10.1097/01241398-199009000-00014.
Surgical for adolescent hallux valgus (HV) was performed on 32 feet. Five feet (16%) required revision surgery, and technical errors accounted for recurrence in all five. Satisfaction was obtained in 70% of patients. According to a new bunion rating score, 59% of patients had good to excellent results. In a subgroup of patients treated with metatarsal osteotomy for metatarsus primus varus, the Mitchell osteotomy provided an excellent rating in 95% of patients. Surgery for adolescent HV provides satisfying results in most patients. The one factor most highly correlated with both decreased risk of recurrence of angular deformity and patient satisfaction was a reduction of the intermetatarsal (IM) angle.
对32只足进行了青少年拇外翻（HV）手术。5只足（16%）需要翻修手术，所有5例复发均由技术失误导致。70%的患者获得了满意效果。根据一项新的拇囊炎评分系统，59%的患者结果为良好至优秀。在因第一跖骨内翻接受跖骨截骨术治疗的患者亚组中，95%的患者接受米切尔截骨术后评分优秀。青少年HV手术在大多数患者中能提供满意的结果。与角畸形复发风险降低和患者满意度高度相关的唯一因素是跖间（IM）角减小。
