用于拇外翻畸形的近节趾骨截骨术。

Proximal phalangeal osteotomies for hallux abductovalgus deformity.

作者信息

Rettedal David, Lowery Nicholas J

机构信息

University of Pittsburgh Medical Center Mercy Hospital, 1400 Locust Street, Pittsburgh, PA 15219, USA.

出版信息

Clin Podiatr Med Surg. 2014 Apr;31(2):213-20. doi: 10.1016/j.cpm.2013.12.003.

DOI:10.1016/j.cpm.2013.12.003

PMID:24685188

Abstract

The primary indication for an osteotomy of the hallux proximal phalanx to correct hallux abductovalgus (HAV) deformities is increased hallux interphalangeus. The typical osteotomy is the Akin osteotomy or a variation. The Akin is a medial closing wedge osteotomy in the proximal phalanx. An Akin-type osteotomy is usually used as an adjunctive procedure for HAV to correct deformity within the great toe. When first metatarsal procedures and soft tissue balancing are not sufficient for realigning the first metatarsophalangeal joint, an Akin can be useful. A hallux proximal phalanx osteotomy is not indicated as the primary correction for HAV deformities.

摘要

通过拇趾近节趾骨截骨术矫正拇外翻（HAV）畸形的主要指征是趾间关节增大。典型的截骨术是Akin截骨术或其变体。Akin截骨术是近节趾骨的内侧闭合楔形截骨术。Akin型截骨术通常用作HAV的辅助手术，以矫正拇趾内的畸形。当第一跖骨手术和软组织平衡不足以使第一跖趾关节重新对线时，Akin截骨术可能会有用。拇趾近节趾骨截骨术不作为HAV畸形的主要矫正方法。