Sammarco G J, Scioli M W
Department of Orthopaedic Surgery, University of Cincinnati, OH 45221.
Foot Ankle. 1989 Dec;10(3):129-39. doi: 10.1177/107110078901000304.
A double-threaded compression screw (Herbert) was used as internal fixation of metatarsal neck osteotomy and nonunion repair in 16 patients (18 feet). Fifteen patients had associated symptomatic conditions of the foot. Twelve patients had one or more previous surgical procedures on the involved foot. Fourteen patients (15 feet) underwent 20 primary or revision lesser metatarsal osteotomies. Four of these patients had undergone previous lesser metatarsal osteotomies and had developed recurrent pain beneath six metatarsals and transfer metatarsalgia in one case. The remaining two patients (three feet), with six nonunions from previous metatarsal osteotomies, had repair with screw fixation and bone grafting. Follow-up for the series averaged 14 months.
使用双螺纹加压螺钉（Herbert螺钉）对16例患者（18足）的跖骨颈截骨术折术及骨不连修复进行内固定。15例患者伴有足部相关症状。12例患者患足曾接受过一次或多次外科手术。14例患者（15足）接受了20次原发性或翻修性小跖骨截骨术。其中4例患者曾接受过小跖骨截骨术，6处跖骨下方出现复发性疼痛，1例出现转移性跖骨痛。其余2例患者（3足）因既往跖骨截骨术后出现6处骨不连，接受了螺钉固定及植骨修复。该系列患者的平均随访时间为14个月。
