Grace D, Hughes J, Klenerman L
Northwick Park Hospital and Clinical Research Centre, Harrow, England.
J Bone Joint Surg Br. 1988 Mar;70(2):236-41. doi: 10.1302/0301-620X.70B2.3346296.
In a retrospective study we compared the results of 31 Wilson and 31 Hohmann osteotomies of the first metatarsal in the treatment of hallux valgus. There were no differences between the two operations in terms of patient satisfaction, pain relief, appearance, footwear and walking ability. First metatarsal shortening was the same after both operations, and the degree of shortening was unrelated to either the clinical or the pedobarographic findings. Although the long-term radiographic changes after the Hohmann osteotomy were more worrying, the pedobarographic patterns tended to be worse after the Wilson osteotomy. There were no poor results and the numbers of feet with the same final grade were identical in each group. However, there was abnormal loading of the lateral metatarsal heads after both osteotomies when compared with the normal foot, and hallux-contact time during the stance phase was also significantly reduced after osteotomy.
在一项回顾性研究中，我们比较了31例采用威尔逊截骨术和31例采用霍曼截骨术治疗拇外翻的第一跖骨截骨术的结果。在患者满意度、疼痛缓解、外观、鞋类和行走能力方面，两种手术之间没有差异。两种手术后第一跖骨缩短情况相同，缩短程度与临床或足压力描记图结果均无关。尽管霍曼截骨术后的长期影像学变化更令人担忧，但威尔逊截骨术后的足压力描记图模式往往更差。两组均无不良结果，且每组最终分级相同的足部数量相同。然而，与正常足部相比，两种截骨术后外侧跖骨头均存在异常负荷，截骨术后站立期拇趾接触时间也显著缩短。
