用于拇外翻矫正的围巾截骨术：影像学与临床分析
SCARF OSTEOTOMY FOR HALLUX VALGUS CORRECTION: RADIOLOGICAL AND CLINICAL ANALYSIS.
作者信息
Silva Bruno Air Machado DA, Zandoná Daniel Almeida, Siqueira Diego Brandão, Alves Reinaldo Antônio
机构信息
Hospital de Urgências de Aparecida de Goiânia e Instituto Ortopédico de Goiânia, Goiânia, GO, Brazil.
Instituto Ortopédico de Goiânia, Goiânia, GO, Brazil.
出版信息
Acta Ortop Bras. 2022 Aug 26;30(4):e249410. doi: 10.1590/1413-785220223004e249410. eCollection 2022.
OBJECTIVES
This article aims to radiographically and clinically evaluate the results of the surgical correction of hallux valgus using the scarf technique. The pre- and postsurgical hallux valgus angles - metatarsophalangeal angle (MP), intermetatarsal angle (IM), and degree of dislocation of the sesamoids - were retrospectively evaluated, as well as their clinical parameters.
METHODS
70 pre- and postoperative radiographs of patients undergoing surgical correction of hallux valgus by the scarf osteotomy technique were retrospectively evaluated. The American Orthopedic Foot And Ankle Society Score (AOFAS) was used for pre- and postoperative clinical evaluation.
RESULTS
There was a statistically significant improvement in the MP, IM, and sesamoid position, in addition to the clinical improvement verified by the AOFAS.
CONCLUSION
Scarf osteotomy improves the MP and IM angles and correct the position of the sesamoid, as well as improve the AOFAS.
目的
本文旨在通过影像学和临床评估采用Scarf技术矫正拇外翻的手术效果。回顾性评估术前和术后的拇外翻角度——跖趾角（MP）、跖间角（IM）以及籽骨脱位程度，以及它们的临床参数。
方法
回顾性评估70例采用Scarf截骨术技术进行拇外翻手术矫正患者的术前和术后X线片。采用美国矫形足踝协会评分（AOFAS）进行术前和术后的临床评估。
结果
除了AOFAS证实的临床改善外，MP、IM和籽骨位置也有统计学上的显著改善。
结论
Scarf截骨术可改善MP和IM角，纠正籽骨位置，并改善AOFAS评分。
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