拇外翻矫正术后跖骨干截骨术与改良 Lapidus 手术的回顾性比较：返回率。
Return to run rates following hallux valgus correction: A retrospective comparison of metatarsal shaft osteotomies versus the modified lapidus procedure.
机构信息
Tripler Army Medical Center, Orthopaedic Residency, 1 Jarrett White Road Honolulu, HI 96859.
Tripler Army Medical Center, Orthopaedic Residency Program Director, 1 Jarrett White Road Honolulu, HI, 96859.
出版信息
Foot Ankle Surg. 2021 Dec;27(8):892-896. doi: 10.1016/j.fas.2020.12.001. Epub 2020 Dec 9.
BACKGROUND
Hallux valgus affects 23-36% in general populations. The purpose of this study was to evaluate return to run following either a modified Lapidus procedure or a metatarsal osteotomy. We hypothesized that there would be no difference in the ability to return to running.
METHODS
A Retrospective review of a consecutive series of patients at a single institution with surgical correction was performed. 51 patients were identified. 35 were treated with a metatarsal shaft osteotomy and 16 with a modified Lapidus.
RESULTS
No difference was found between the cohorts in terms of age, sex, or preoperative hallux valgus angle (HVA). 27/35 (77%) with metatarsal shaft osteotomy were able to return to running versus 13/16 (81%) with modified Lapidus. There was no significant difference in the ability to return to running between cohorts (p =1.00).
CONCLUSION
Our study showed no statistical difference for the modified Lapidus versus metatarsal osteotomies relative to return to running.
背景
拇外翻在普通人群中的发病率为 23%-36%。本研究旨在评估改良Lapidus 手术与跖骨截骨术治疗后患者重返跑步的能力。我们假设两种手术方式在重返跑步的能力上没有差异。
方法
对一家单中心连续系列手术患者进行回顾性研究。共确定了 51 名患者。其中 35 名患者接受了跖骨干截骨术，16 名患者接受了改良 Lapidus 手术。
结果
两组患者在年龄、性别或术前拇外翻角（HVA）方面无差异。跖骨干截骨术组 27/35（77%）能够重返跑步，改良 Lapidus 组 13/16（81%）能够重返跑步。两组患者重返跑步的能力无显著差异（p=1.00）。
结论
本研究表明，改良 Lapidus 手术与跖骨截骨术在重返跑步方面没有统计学差异。
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