Cangiano S A
New York College of Podiatric Medicine, New York.
Clin Podiatr Med Surg. 1989 Jan;6(1):71-82.
There are many variables that factor into the decision to fixate a metatarsal head osteotomy. These decisions should be based on a thorough understanding of all of these factors. This article discusses osteotomies in a generic sense and the many variables that should be considered. It should be noted that whether internal fixation is employed or not, a thorough understanding of ASIF principles and bone healing is greatly beneficial. Many factors affect stability; these are discussed, as well as subtle changes in various procedures that can dramatically alter stability and therefore the need for fixation.
在决定是否对跖骨头截骨进行固定时，有许多因素需要考虑。这些决策应基于对所有这些因素的透彻理解。本文从一般意义上讨论截骨术以及应考虑的诸多因素。需要注意的是，无论是否采用内固定，深入理解AO/ASIF原则和骨愈合都非常有益。许多因素会影响稳定性；本文将对这些因素进行讨论，同时还会探讨各种手术中可能显著改变稳定性从而影响固定需求的细微变化。
