Mills J A, Menelaus M B
Department of Orthopaedic Surgery, Royal Children's Hospital, Parkville, Victoria, Australia.
J Bone Joint Surg Br. 1989 May;71(3):437-40. doi: 10.1302/0301-620X.71B3.2722937.
We reviewed 12 patients with congenital hallux varus who had had operations on 20 feet to enable them to wear normal shoes and to improve the appearance. After an average follow-up of 12.7 years the results of soft tissue procedures were satisfactory in 12 of 17 feet. Arthrodesis of the first metatarsophalangeal joint, performed primarily in one foot and secondarily in two others was also satisfactory, but metatarsal osteotomy in two feet gave unsatisfactory results leading to local amputation. The unsatisfactory results were generally due to the appearance of shortness of the first metatarsal and rarely because of symptoms or recurrent deformity.
我们回顾了12例先天性拇内翻患者，他们的20只脚接受了手术，目的是使他们能够穿正常鞋子并改善外观。平均随访12.7年后，17只脚中的12只软组织手术结果令人满意。第一跖趾关节融合术主要在1只脚上进行，另外2只脚为二次手术，结果也令人满意，但2只脚的跖骨截骨术结果不理想，导致局部截肢。结果不理想通常是由于第一跖骨短缩的外观，很少是因为症状或畸形复发。
