Washington Orthopaedic Center, 1900 Cooks Hill Road, Centralia, WA 98532, USA.
Carle Clinic Orthopedics and Sports Medicine, 2300 S 1st Street, Champaign, IL, USA.
Clin Podiatr Med Surg. 2022 Apr;39(2):187-206. doi: 10.1016/j.cpm.2021.11.009.
There has been significant enhancement in surgical management of hallux valgus deformity. Recognition of the role of medial column hypermobility has resulted in better functional outcomes with decreased risk of recurrence. Modern techniques have evolved to include enhanced fixation in a move toward minimal postoperative downtime. Evolution to include true triplane correction, including frontal plane derotation of the first ray, has resulted in optimal functional outcomes. The addition of anatomic triplane restoration, enhanced internal fixation, and early return to weight-bearing activities are combined resulting in lifelong correction with excellent functional outcomes and a high degree of patient satisfaction.
拇外翻畸形的手术治疗已经取得了显著进展。认识到内侧柱过度活动的作用,可以提高功能结果的稳定性,降低复发风险。现代技术已经发展到包括增强固定,以减少术后恢复期。包括第一跖骨额状面旋转的真正三平面矫正的发展,导致了最佳的功能结果。解剖三平面重建、增强内固定和早期负重活动的加入,结合在一起,实现了终身矫正,具有极好的功能结果和高度的患者满意度。