Orthop Surg. 2015 Nov;7(4):291-6. doi: 10.1111/os.12207.
Hallux valgus deformity is one of the most common diseases in foot and ankle surgery. Satisfactory outcomes tend to be achieved only through operative correction. However, selection of the optimal surgical strategy is always a controversial topic, and the rate of dissatisfied patients postoperativelyis still very high. It is well known that there are various pathological changes in hallux valgus deformity, so it is impossible to use one specific procedure to solve all the problems. It requires a careful preoperative physical examination and radiographic assessment to choose the best operation for each kind of deformity according to each pathalogical change, combined with good postoperative dressing, immobilization and proper rehabilitation and follow up, to improve surgical outcomes and reduce postoperative rate of complication and dissatisfaction. In order to achieve these goals, a Consensus on the Operative Correction of Hallux Valgus has been developed by the Foot and Ankle Working Committee, Orthopaedic Branch, Chinese Association of Orthopaedic Surgeons. Foot and ankle surgeons following this consensus must be fully aware of their patients' desires, carefully evaluate different pathological processes and clinical symptoms and be skilled in various procedures. Then these procedures can be easily selected, converted and combined based on preoperative plans and intraoperative conditions.
拇外翻畸形是足踝外科最常见的疾病之一。只有通过手术矫正才能获得满意的疗效。然而,选择最佳的手术策略一直是一个有争议的话题,术后患者不满意率仍然很高。众所周知,拇外翻畸形存在多种病理变化,因此不可能用一种特定的手术方法解决所有问题。这需要术前仔细的体格检查和影像学评估,根据每种病理变化为每种畸形选择最佳手术方式,同时结合良好的术后包扎、固定以及适当的康复和随访,以提高手术效果,降低术后并发症发生率和患者不满意率。为了实现这些目标,中华医学会骨科学分会足踝外科学组制定了《拇外翻手术矫正专家共识》。遵循该共识的足踝外科医生必须充分了解患者的需求,仔细评估不同的病理过程和临床症状,并熟练掌握各种手术方法。然后,根据术前计划和术中情况,可以轻松地选择、转换和组合这些手术方法。