Ben-Ad Rotem
University Foot and Ankle Institute, 2121 Wilshire Boulevard, Suite 101, Santa Monica, CA 90403, USA.
Clin Podiatr Med Surg. 2014 Apr;31(2):265-79. doi: 10.1016/j.cpm.2013.12.008. Epub 2014 Feb 11.
Fixation options for hallux valgus correction vary. Although some methods are newer and more advanced, even the older techniques are successful in appropriate situations. Kirschner wires and cerclage wiring have their place in proximal phalanx and first metatarsal osteotomies. They are useful for fusion procedures, depending on patient bone quality. Advancements with staple fixation allow the surgeon to apply compression with this device. One of the most stable forms of fixation is the bone screw. By providing a stable construct with good interfragmentary compression, primary bone healing is facilitated. The more recent use of rigid locking plates has allowed for earlier weight bearing following fusion procedures.
拇外翻矫正的固定方法多种多样。尽管有些方法更新且更先进，但即使是较老的技术在适当情况下也能取得成功。克氏针和环扎钢丝在近节趾骨和第一跖骨截骨术中都有其应用。根据患者骨质情况，它们对融合手术很有用。吻合钉固定技术的进步使外科医生能够使用该装置施加加压。最稳定的固定形式之一是骨螺钉。通过提供具有良好骨折块间加压的稳定结构，促进了一期骨愈合。最近刚性锁定钢板的使用使得融合手术后能够更早负重。
