重视术后籽骨复位在中重度拇外翻畸形行近端Chevron 截骨术后的疗效。
Importance of postoperative sesamoid reduction on the outcomes of proximal chevron osteotomy for moderate to severe hallux valgus deformity.
机构信息
Department of Orthopedic Surgery, Chonnam National University Hospital, Gwangju, Republic of Korea.
Department of Orthopedic Surgery, Chonnam National University Hospital, Gwangju, Republic of Korea.
出版信息
Foot Ankle Surg. 2019 Aug;25(4):434-440. doi: 10.1016/j.fas.2018.02.006. Epub 2018 Feb 16.
BACKGROUND
The purpose of this study was to compare the clinical and radiographic outcomes between feet with or without postoperative sesamoid reduction of proximal metatarsal chevron osteotomy for moderate to severe hallux valgus deformity.
METHODS
All of 110 feet were allocated into two groups (reduction group; 66 feet, non-reduction group; 44 feet) according to the reduction status of sesamoid at 6 months after surgery. The clinical and radiographic results of the two groups were compared preoperatively, 6 months follow-up, and at last follow-up.
RESULTS
The overall improvement in clinical outcomes was similar in both groups at average 4-year follow-up. However, the radiographic outcomes and recurrence rate were significantly worse in the sesamoid non-reduction group.
CONCLUSIONS
Our results suggested that postoperative incomplete reduction of sesamoid may increase a risk for the recurrence of hallux valgus deformity.
背景
本研究旨在比较行近端跖骨 Chevron 截骨术后合并或不合并籽骨复位治疗中重度拇外翻畸形的足部临床和影像学结果。
方法
根据术后 6 个月籽骨复位情况，将 110 足分为两组（复位组 66 足，未复位组 44 足）。比较两组术前、术后 6 个月及末次随访时的临床和影像学结果。
结果
平均 4 年随访时，两组的临床疗效总体改善情况相似，但籽骨未复位组的影像学结果和复发率明显较差。
结论
我们的结果表明，术后籽骨不完全复位可能会增加拇外翻畸形复发的风险。
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