Clark H R, Veith R G, Hansen S T
Children's Orthopaedic Hospital, Seattle, Washington.
Bull Hosp Jt Dis Orthop Inst. 1987 Fall;47(2):109-22.
The modified Lapidus procedure with rigid internal fixation was used to correct adolescent bunion deformities in 20 patients (32 feet). All patients were female and skeletally mature at surgery. Their average age was 18 years. Preoperatively, 100% had bunion pain and trouble with shoe wear, and 93% had a hypermobile first ray. Sixteen patients (24 feet) were available for follow-up examination and radiographs. The average follow-up time for the entire group was 24.3 months (range 3-72 months). Excellent or good results were obtained in 91% of patients. One recurrence required reoperation with first metatarsal osteotomy and MTP joint debridement. In our experience, the modified Lapidus procedure is the procedure of choice for the adolescent bunion with a hypermobile first ray.
采用改良Lapidus手术联合坚强内固定治疗20例（32足）青少年拇外翻畸形。所有患者均为女性，手术时骨骼已成熟。平均年龄18岁。术前，100%有拇外翻疼痛及穿鞋困难，93%有第1跖骨活动度过大。16例患者（24足）接受了随访检查及X线片检查。全组平均随访时间为24.3个月（范围3 - 72个月）。91%的患者获得了优良效果。1例复发患者需要再次手术，行第1跖骨截骨术及跖趾关节清创术。根据我们的经验，改良Lapidus手术是治疗第1跖骨活动度过大的青少年拇外翻的首选术式。
