Warganich Tibor, Harris Thomas
Department of Orthopaedics, Harbor-UCLA, 1000 West Carson Street, #422, Torrance, CA 90502, USA.
Department of Orthopaedics, Harbor-UCLA, 1000 West Carson Street, #422, Torrance, CA 90502, USA; Congress Medical Associates, Foot and Ankle Surgery, Harbor-UCLA, 800 South Raymond Avenue, Second Floor, Pasadena, CA 91105, USA.
Foot Ankle Clin. 2015 Sep;20(3):433-50. doi: 10.1016/j.fcl.2015.04.006. Epub 2015 Jul 8.
Hallux rigidus is a common cause of pain and decreased range of motion of the first metatarsophalangeal joint, notably with loss of dorsiflexion. Hallux rigidus is the second most common disorder affecting the great toe. The primary cause of hallux rigidus is thought to be a traumatic event, a culmination of microtrauma, or an alteration in kinematics leading to a loss of articular cartilage and dorsal osteophyte formation. Surgical treatments include Moberg osteotomy, also referred to as a proximal phalanx extension osteotomy. This article discusses current techniques, developments, complications, outcomes, and management of the Moberg osteotomy.
僵硬性拇趾是第一跖趾关节疼痛和活动范围减小的常见原因,尤其是背屈功能丧失。僵硬性拇趾是影响大脚趾的第二常见病症。僵硬性拇趾的主要原因被认为是创伤性事件、微创伤的累积或运动学改变,导致关节软骨丧失和背侧骨赘形成。手术治疗包括莫伯格截骨术,也称为近节趾骨延长截骨术。本文讨论了莫伯格截骨术的当前技术、进展、并发症、结果和管理。