Ramanathan E B, Heywood-Waddington M B
Broomfield Hospital, Chelmsford, Essex, England.
J Bone Joint Surg Br. 1988 May;70(3):412-4. doi: 10.1302/0301-620X.70B3.3372562.
In a five-year period, 153 feet in 101 patients were treated by a Wilson's osteotomy of the first metatarsal for hallux valgus. Postoperative support was provided by either a below-knee or a forefoot plaster, and was continued for either three weeks or six weeks. The results showed overall success in 91% with no significant difference between the four groups. We suggest that a forefoot plaster for three weeks is adequate support after a Wilson's osteotomy.
在五年时间里,对101例患者的153只脚采用第一跖骨Wilson截骨术治疗拇外翻。术后通过膝下石膏或前足石膏提供支撑,并持续三周或六周。结果显示总体成功率为91%,四组之间无显著差异。我们认为,Wilson截骨术后使用前足石膏三周提供的支撑就足够了。