Zhou Hai-bo, Chen Lei, Liu Cai-long
Zhongguo Gu Shang. 2015 Nov;28(11):1059-63.
To evaluate the clinical results of dorsal approach and Weil osteotomy in treating the injury of the plantar plate in second metatarsophalangeal joint.
Eight feet with plantar plate tear in five cases were treated by plantar plate repairment through dorsal approach and Weil osteotomy from June 2012 to December 2013. The mean age of the patients was 52 years old. All the patients were followed up for 6 to 12 months. American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) were used to evaluate the clinical effect.
The second metatarsophalangeal joint stability recovered and the pain released in all patients. Postoperative VAS was lower and AOFAS was higher than preoperative.
Combined dorsal approach and Weil osteotomy can effectively release the pian of plantar plate, stabilize the metatarsophalangeal joint, decrease the incidence rate of postoperative subluxation and anchylosis in treating plantar plate tears in the second metatarsophalangeal joint.
评估背侧入路联合Weil截骨术治疗第二跖趾关节跖板损伤的临床效果。
2012年6月至2013年12月，对5例8足跖板撕裂患者采用背侧入路行跖板修复及Weil截骨术治疗。患者平均年龄52岁。所有患者均随访6至12个月。采用美国足踝外科协会（AOFAS）评分和视觉模拟评分法（VAS）评估临床疗效。
所有患者第二跖趾关节稳定性恢复，疼痛缓解。术后VAS评分低于术前，AOFAS评分高于术前。
背侧入路联合Weil截骨术治疗第二跖趾关节跖板撕裂能有效缓解跖板疼痛，稳定跖趾关节，降低术后半脱位及关节强直发生率。
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