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经皮外侧松解术治疗拇外翻:解剖基础与适应证。

Percutaneous Lateral Release in Hallux Valgus: Anatomic Basis and Indications.

机构信息

GRECMIP - MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied - Minimally Invasive Foot and Ankle Society), Merignac, France; Head Foot and Ankle Section, Orthopaedics Department, Fundación Favaloro -Hospital Universitario, Solis 461, Ciudad Autónoma de Buenos Aires (CABA) CP 1078, Argentine; Department of Kinesiology and Physiatry, Universidad Favaloro, Av. Entre Ríos 495, CABA CP 1079, Argentina.

GRECMIP - MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied - Minimally Invasive Foot and Ankle Society), Merignac, France; Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine, University of Barcelona. C/ Feixa Llarga, s/n, 08907, L'Hospitalet de Llobregat, Office 5304, Barcelona, Spain.

出版信息

Foot Ankle Clin. 2020 Sep;25(3):373-383. doi: 10.1016/j.fcl.2020.05.003. Epub 2020 Jul 9.

Abstract

In the last decade, minimally invasive or percutaneous surgery has evolved rapidly through the development of novel techniques. Treatment of hallux valgus deformity is one of the indications for percutaneous surgery, both for bony and soft tissue correction. The release of the structures on the lateral part of the first metatarsophalangeal joint (lateral release) is one of the best indications for percutaneous surgery in the forefoot. In this article, a detailed description of the anatomy of the metatarsophalangeal joint is provided, along with the indications and tips to perform a safe percutaneous lateral release.

摘要

在过去的十年中,通过新技巧的发展,微创或经皮手术迅速发展。足拇外翻畸形的治疗是经皮手术的适应证之一,包括骨和软组织的矫正。第一跖趾关节外侧结构的松解(外侧松解术)是前足经皮手术的最佳适应证之一。在本文中,详细描述了跖趾关节的解剖结构,以及进行安全的经皮外侧松解术的适应证和技巧。

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