Wanivenhaus A H, Feldner-Busztin H
Department of Orthopaedics, University of Vienna, Austria.
Foot Ankle. 1988 Jun;8(6):337-43. doi: 10.1177/107110078800800610.
At the University of Vienna Department of Orthopaedics, 26 feet in 21 patients were treated with a basal osteotomy for hallux valgus associated with metatarsus primus varus. In 85% of the cases, a satisfactory result was achieved. Critical analysis revealed shortening of the first metatarsal and elevation of its head, which resulted in excess lateral straining of the foot and metatarsalgia. In 15 cases, osteoarthritis in the metatarsocuneiform joint was also increased. Given these results, an osteotomy that prevents shortening of the first metatarsal and elevation of the head of the first metatarsal, or one that takes these facts into account, seems ideal.
在维也纳大学骨科，对21名患者的26只脚进行了基底截骨术，以治疗与第一跖骨内翻相关的拇外翻。85%的病例取得了满意的结果。批判性分析显示，第一跖骨缩短及其头部抬高，导致足部外侧过度受力和跖痛症。在15例病例中，跖楔关节的骨关节炎也有所加重。鉴于这些结果，一种能防止第一跖骨缩短和第一跖骨头抬高的截骨术，或者一种考虑到这些因素的截骨术，似乎是理想的。
