Hatch Daniel J, Santrock Robert D, Smith Bret, Dayton Paul, Weil Lowell
Surgical Director, Northern Colorado Podiatric Medicine & Surgery Residency, Greeley, CO; Clinical Instructor, Dr William M Scholl College of Podiatric Medicine, North Chicago, IL.
Assistant Professor and Chief of Foot & Ankle Surgery, Department of Orthopaedics, West Virginia University School of Medicine, Morgantown, WV.
J Foot Ankle Surg. 2018 Sep-Oct;57(5):972-981. doi: 10.1053/j.jfas.2018.02.008. Epub 2018 May 18.
One of the most common procedures performed in the foot and ankle is correction of hallux abducto valgus deformity or "bunion surgery." Most foot and ankle surgeons recognize the challenges associated with defining each patient's individual deformity and selecting the optimal procedure for the best long-term results. Using current 2-dimensional algorithms that focus on the severity of the transverse plane deformity, surgical outcomes have varied. In the past 10 years, high recurrence and complication rates for popular procedures have been reported. In the same period, the reported data have elucidated an evolving anatomic understanding of the bunion deformity, with an expansion to 3 dimensions, including the frontal/coronal plane. We present a new classification and approach for the evaluation and procedure selection for bunion surgery. We hope this conceptual treatise on hallux abducto valgus based on clinical consensus and current data will stimulate academic discussion and further research. This anatomic classification is based on the 3-dimensional anatomy of the first ray.
足部和踝关节最常见的手术之一是拇外翻畸形矫正术，即“拇囊炎手术”。大多数足踝外科医生都认识到，确定每个患者的个体畸形并选择最佳手术以获得最佳长期效果存在挑战。使用当前专注于横向平面畸形严重程度的二维算法，手术结果各不相同。在过去10年中，已报道了一些常用手术的高复发率和并发症发生率。同一时期，报道的数据阐明了对拇囊炎畸形不断演变的解剖学认识，已扩展到三维，包括额面/冠状面。我们提出了一种新的拇囊炎手术评估和手术选择分类及方法。我们希望这篇基于临床共识和当前数据的关于拇外翻的概念性论文能激发学术讨论和进一步研究。这种解剖学分类基于第一跖骨的三维解剖结构。
