Shariff Raheel, Myerson Mark S
Trauma and Orthopaedic Surgery, Central Manchester University Hospitals - NHS Foundation Trust, Oxford Road, Manchester, UK.
The Institute for Foot and Ankle Reconstruction at Mercy Medical Centre, 301 St Paul Pl, Baltimore, MD 21202, USA.
Foot Ankle Clin. 2015 Sep;20(3):493-502. doi: 10.1016/j.fcl.2015.05.001.
Metatarsus elevatus and gastrocnemius tightness contribute to the development of functional hallux rigidus. Although several osteotomies have been described for functional hallux rigidus, certain osteotomies are commonly used in practice for the correction of functional hallux rigidus, a long first metatarsal or an elevated metatarsal, or an unstable tarsometatarsal joint. Proximal plantarflexion osteotomy is used only in the presence of an elevated first metatarsal with a limit to dorsiflexion but without the presence of arthritis at the first metatarsophalangeal joint. In the presence of arthritis at the metatarsophalangeal joint, the decision is between an oblique distal metatarsal osteotomy and the shortening periarticular osteotomy.
跖骨抬高和腓肠肌紧张会导致功能性拇僵硬的发展。虽然已经描述了几种用于功能性拇僵硬的截骨术，但在实际应用中，某些截骨术通常用于矫正功能性拇僵硬、第一跖骨过长或抬高、或跗跖关节不稳定。近端跖屈截骨术仅用于第一跖骨抬高且背屈受限但第一跖趾关节无关节炎的情况。在跖趾关节存在关节炎的情况下，需要在斜行远端跖骨截骨术和缩短关节周围截骨术之间做出选择。
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