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远端跖骨截骨术治疗小趾囊炎畸形

Distal metatarsal osteotomy for bunionette deformity.

作者信息

Konradsen L, Nielsen P T

机构信息

Department of Orthopedic Surgery, County Hospital, Hillerød, Denmark.

出版信息

J Foot Surg. 1988 Nov-Dec;27(6):493-6.

PMID:3243955
Abstract

Surgical treatment of a bunionette deformity was carried out in 54 feet (36 patients) using the Hohmann displacement osteotomy modified by Thomasen on the fifth metatarsal. Forty-eight operated feet (32 patients) were evaluated 69 months postoperatively (median). The patients were fully satisfied in 88% of the cases and partly satisfied or unsatisfied in 12%. The fully satisfied patients stressed the fact that they were now able to wear whatever style of footwear they desired. The objective success rate was 78% (6% recurrences, 10% transfer lesions, 4% intractable plantar keratosis and 2% operative complications). The authors conclude that the operation is an effective treatment for the bunionette deformity, and that the effect of the operation appears to be long lasting, with few reappearances 5 to 6 years after the operation.

摘要

采用经托马森改良的霍曼移位截骨术对54只足(36例患者)的小趾囊炎畸形进行了手术治疗。对48只接受手术的足(32例患者)进行了术后69个月(中位数)的评估。88%的患者对手术完全满意,12%的患者部分满意或不满意。完全满意的患者强调他们现在能够穿任何他们想要的款式的鞋子。客观成功率为78%(6%复发,10%转移性病变,4%顽固性跖角化病,2%手术并发症)。作者得出结论,该手术是治疗小趾囊炎畸形的有效方法,手术效果似乎持久,术后5至6年很少复发。

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