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经皮骨缝合术矫正青少年踇外翻:初步病例系列研究。

Transosseous Suturing for the Correction of Juvenile Hallux Valgus: A Preliminary Case Series Study.

机构信息

Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi 60002, Taiwan.

Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei 100229, Taiwan.

出版信息

Medicina (Kaunas). 2022 Nov 19;58(11):1679. doi: 10.3390/medicina58111679.

Abstract

: Many treatment modalities are available for juvenile hallux valgus. However, all of them have some disadvantages. Therefore, we developed a transosseous suturing procedure. : Six patients (seven feet) with juvenile hallux valgus received transosseous suturing procedure. Clinical and radiological examinations were performed preoperatively and postoperatively. All patients underwent the soft tissue release procedure, followed by transosseous suturing with Fiberwire (in which sutures are anchored with mini plates). : The mean IMA and HVA decreased from 15.6° ± 2.6° to 7.3° ± 1.1° and 39.2° ± 3.3° to 12.5° ± 3.1°, respectively. Corrections achieved in the IMA and HVA of all patients were maintained through the last follow-up. The mean American Orthopedic Foot & Ankle Society score improved from 53.3 ± 3.5 to 86.9 ± 4.7 points. : Based on these preliminary data, the transosseous suturing technique demonstrated satisfactory results and apparent improvements in the IMA and HVA without early complications.

摘要

: 有许多治疗方法可用于治疗青少年拇外翻。然而,它们都有一些缺点。因此,我们开发了一种经皮骨缝合技术。 : 6 例(7 足)青少年拇外翻患者接受经皮骨缝合术。术前和术后均进行临床和影像学检查。所有患者均行软组织松解术,然后用 Fiberwire(缝线用微型钢板固定)进行经皮骨缝合。 : IMA 和 HVA 的平均角度分别从 15.6°±2.6°降至 7.3°±1.1°和从 39.2°±3.3°降至 12.5°±3.1°。所有患者的 IMA 和 HVA 矫正均在末次随访时保持。美国矫形足踝协会评分的平均得分从 53.3±3.5 分提高到 86.9±4.7 分。 : 基于这些初步数据,经皮骨缝合技术显示出满意的结果,IMA 和 HVA 明显改善,且无早期并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5df6/9692866/caec8f2158db/medicina-58-01679-g002.jpg

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