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孤立性青少年拇外翻患者的SERI技术:中期至长期随访的回顾性评估

SERI Technique for Isolated Juvenile Hallux Valgus Patients: A Retrospective Evaluation With Mid-term to Long-term Follow-up.

作者信息

Caravelli Silvio, Vocale Emanuele, Di Ponte Marco, Fuiano Mario, Massimi Simone, Zannoni Francesca, Zaffagnini Stefano, Mosca Massimiliano

机构信息

II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

出版信息

Foot Ankle Spec. 2025 Feb;18(1):58-63. doi: 10.1177/19386400221121409. Epub 2022 Sep 13.

Abstract

INTRODUCTION

Many different operative procedures have been described to treat hallux valgus, but many of them are inappropriate for active, skeletally immature patients. This retrospective evaluation aimed to show the efficacy of SERI (Simple, Effective, Rapid, Inexpensive) technique in young patients affected by mild to moderate hallux valgus deformity at a mid-term to long-term follow-up.

METHODS

All patients were clinically and radiographically evaluated, independently by 2 researchers, by American Orthopaedic Foot and Ankle Society (AOFAS) Hallux-Metatarsophalangeal-Interphalangeal score and radiographic examination.

RESULTS

Twenty-nine feet, undergone SERI procedure, have been reviewed at a mean follow-up of 5 years. The mean AOFAS score was significantly improved from 59.7 preoperatively to a mean value of 90.7 at last follow-up. Mean correction degrees have been recorded for both angles (hallux valgus angle [HVA] -13.7° and intermetatarsal angle [IMA] -6.7°).

CONCLUSIONS

The SERI technique represents a powerful surgical procedure for the treatment of painful, mild to moderate, juvenile hallux valgus. Recurrence and complication rate make this surgical approach effective, repeatable, and safe.

LEVEL OF EVIDENCE

Level IV, Retrospective case series.

摘要

引言

已经描述了许多不同的手术方法来治疗拇外翻,但其中许多方法不适用于活跃的骨骼未成熟患者。这项回顾性评估旨在显示简单、有效、快速、廉价(SERI)技术在中期至长期随访中对轻度至中度拇外翻畸形年轻患者的疗效。

方法

所有患者均由2名研究人员独立进行临床和影像学评估,采用美国矫形足踝协会(AOFAS)拇趾-跖趾-趾间关节评分和影像学检查。

结果

对接受SERI手术的29只脚进行了平均5年的随访。平均AOFAS评分从术前的59.7显著提高到最后随访时的平均值90.7。记录了两个角度(拇外翻角[HVA]-13.7°和跖间角[IMA]-6.7°)的平均矫正度数。

结论

SERI技术是治疗疼痛性、轻度至中度青少年拇外翻的一种有效手术方法。复发率和并发症发生率使这种手术方法有效、可重复且安全。

证据水平

IV级,回顾性病例系列。

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