Kitaoka H B, Leventen E O
Division of Orthopaedic Surgery, UCLA School of Medicine.
Clin Orthop Relat Res. 1989 Jun(243):172-9.
A medial displacement metatarsal osteotomy was performed in 23 feet of 16 patients who had painful bunionette deformities. The mean follow-up period was 22 months. Relief of symptoms, e.g., lateral forefoot pain, plantar pain, toe deformity, functional limitation, and shoewear limitation, was achieved. Lateral forefoot tenderness also was relieved. Forefoot width and intermetatarsal four-to-five, intermetatarsal two-to-five, and metatarsophalangeal five angles were consistently decreased. Overall results based on objective and subjective criteria were good in 88%, fair in 4%, and failure in 8%. Complications were superficial wound infection in one case and possible nonunion in one case. This operation is appropriate for the painful bunionette with metatarsal splaying or outflaring with or without intractable plantar keratosis and varus toe deformity.
对16例患有疼痛性小趾囊炎畸形的患者的23只脚进行了内侧移位跖骨截骨术。平均随访期为22个月。症状得到缓解，如前足外侧疼痛、足底疼痛、趾畸形、功能受限和鞋类穿着受限。前足外侧压痛也得到缓解。前足宽度以及第4、5跖骨间角、第2、5跖骨间角和第5跖趾关节角持续减小。基于客观和主观标准的总体结果为：良好占88%，一般占4%，失败占8%。并发症包括1例表浅伤口感染和1例可能的骨不连。该手术适用于伴有或不伴有顽固性足底角化病和内翻趾畸形的跖骨散开或外展的疼痛性小趾囊炎。
