Groulier P, Curvale G, Prudent H P, Vedel F
Service de Chirurgie Orthopédique et Traumatologique, Hôpital de la Conception, Marseille.
Rev Chir Orthop Reparatrice Appar Mot. 1988;74(6):539-48.
This study reports an analysis of a series of 316 cases of hallux valgus treated by a method derived from McBride's operation with some modifications and combined with bony procedures designed to correct abnormalities of bony architecture, in particular osteotomy to shorten an excessively long proximal phalanx. Two hundred feet were reviewed with a follow-up between 1 and 13 years. The results, which were satisfactory in 80 per cent of cases, were analysed according to the usual parameters of pain and deformity in relation to the pre-operative findings and the surgical methods used. The failures and complications were analysed. The results of this study makes it possible to determine the indications for and to appreciate the value and advisability of technical modifications.
本研究报告了对一系列316例拇外翻病例的分析，这些病例采用了源自麦克布赖德手术并经一些改良的方法进行治疗，并结合了旨在矫正骨骼结构异常的骨性手术，特别是用于缩短过长近节趾骨的截骨术。对200只脚进行了复查，随访时间为1至13年。根据疼痛和畸形的常规参数，相对于术前检查结果和所采用的手术方法，80%的病例结果令人满意。对失败病例和并发症进行了分析。本研究结果使得确定手术适应症以及评估技术改良的价值和可取性成为可能。
