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近节趾骨切除术:交叉第二趾手术治疗的新选择。

Extraction of the Proximal Phalanx: A New Option in Surgical Treatment of the Crossover Second Toe.

作者信息

Jeleč Željko, Gjurašin Tomislav, Vuković Pirkl Ana, Rujevčan Gordan

机构信息

St. Catherine Specialty Hospital, Zabok 49210, Croatia.

University North, Varaždin 42000, Croatia.

出版信息

Case Rep Orthop. 2020 Jan 20;2020:3901458. doi: 10.1155/2020/3901458. eCollection 2020.

Abstract

One of the biggest and commonest problems that is seen and treated by foot and ankle surgeons is the deformity where the second toe crosses over the hallux. According to available literature, this is the first published case of extraction of the proximal phalanx due to crossover toe deformity. We present the case of a 64-year-old Caucasian female with a crossover second toe deformity of her left foot. Because of this deformity, she was completely disabled to wear normal shoes and she felt intensive pain in her front part of the foot. She underwent a total extraction of the proximal phalanx of the second toe. After the operation, she was very satisfied with the status of the operated foot and the final result of the surgical treatment. The procedure that we performed could be a good possibility for the treatment of crossover second toe deformity because we got a good functional and cosmetic result, the morbidity associated with more advanced reconstruction is avoided, and the rehabilitation period was short. Patient satisfaction was high, and complications were minimal.

摘要

足踝外科医生诊治的最常见大问题之一是第二趾越过拇趾的畸形。根据现有文献,这是首例因交叉趾畸形而进行近节趾骨切除术的病例。我们报告一名64岁白人女性,其左脚存在第二趾交叉畸形。由于这种畸形,她完全无法穿正常鞋子,且足部前端疼痛剧烈。她接受了第二趾近节趾骨全切术。术后,她对手术足部的状况及手术治疗的最终结果非常满意。我们所施行的手术可能是治疗第二趾交叉畸形的良好选择,因为我们获得了良好的功能和美容效果,避免了与更复杂重建相关的发病率,且康复期短。患者满意度高,并发症极少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4aa/6995315/b74714d85210/CRIOR2020-3901458.001.jpg

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