Dayton Paul, Sedberry Shelly, Feilmeier Mindi
Surgeon, Foot and Ankle, UnityPoint Clinic, Fort Dodge, IA; Assistant Professor, Des Moines University College of Podiatric Medicine and Surgery, Des Moines, IA.
Podiatric Medical Student, Des Moines University College of Podiatric Medicine and Surgery, Des Moines, IA.
J Foot Ankle Surg. 2015 Mar-Apr;54(2):230-2. doi: 10.1053/j.jfas.2014.12.012. Epub 2015 Jan 21.
To better understand the safety of suture techniques to reduce the intermetatarsal angle in patients with hallux valgus deformity, we undertook a systematic review of the complications associated with the use of this technique. The suture procedures of 197 patients were analyzed for complications. The number of complications in the total group (n = 197) at a pooled mean follow-up period of 23.2 months was 39 (19.8%) and included 21 fractures (10.7%), 11 cases of hardware failure (5.6%), and 7 cases of hallux varus (3.6%). The cohort of patients was further categorized by the specific procedure technique. The number of complications in the Mini TightRope(®) group (n = 132) at a pooled mean follow-up period of 16.2 months was 33 (25%) and included 18 fractures (13.6%), 10 cases of hardware failure (7.6%), and 5 cases of hallux varus (3.8%). The number of complications in the syndesmosis technique group (n = 65) at a pooled mean follow-up period of 56.1 months was 6 (9.2%) and included 3 fractures (5%), 1 case of hardware failure (1.5%), and 2 cases of hallux varus (3%). From our review of the published experience with this technique, a high complication rate can be expected.
为了更好地了解用于减少拇外翻畸形患者跖间角的缝合技术的安全性，我们对使用该技术相关的并发症进行了系统评价。分析了197例患者的缝合手术并发症情况。在平均随访23.2个月的全组（n = 197）中，并发症数量为39例（19.8%），包括21例骨折（10.7%）、11例内固定失败（5.6%）和7例拇内翻（3.6%）。患者队列根据具体手术技术进一步分类。Mini TightRope(®)组（n = 132）在平均随访16.2个月时并发症数量为33例（25%），包括18例骨折（13.6%）、10例内固定失败（7.6%）和5例拇内翻（3.8%）。下胫腓联合技术组（n = 65）在平均随访56.1个月时并发症数量为6例（9.2%），包括3例骨折（5%）、1例内固定失败（l.5%）和2例拇内翻（3%）。根据我们对该技术已发表经验的回顾，可预期较高的并发症发生率。
