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跖内收型拇外翻的治疗

Management of Hallux Valgus in Metatarsus Adductus.

作者信息

Reddy Sudheer C

机构信息

Department of Orthopaedic Surgery, Shady Grove Orthopaedics, Adventist Medical Center, George Washington University, 9601 Blackwell Road, Suite 100, Rockville, MD 20850, USA.

出版信息

Foot Ankle Clin. 2020 Mar;25(1):59-68. doi: 10.1016/j.fcl.2019.10.003. Epub 2019 Nov 21.

Abstract

Metatarsus adductus is common clinical entity with an estimated prevalence of approximately 30%. Multiple radiographic methods exist to evaluate the extent of the deformity, with the Sgarlato and Engel methods most commonly used. Surgical treatment varies, consisting of proximal versus distal metatarsal osteotomies, TMT arthrodesis, and realignment of the lesser rays. Particularly in severe cases, addressing all deformities is critical to obtaining a good outcome.

摘要

内收型足跖是一种常见的临床病症,估计患病率约为30%。有多种影像学方法可用于评估畸形程度,其中最常用的是斯加拉托(Sgarlato)法和恩格尔(Engel)法。手术治疗方式多样,包括近端与远端跖骨截骨术、跗跖关节融合术以及小趾骨的重新排列。特别是在严重病例中,解决所有畸形对于取得良好疗效至关重要。

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