Aström M, Cedell C A
Department of Orthopedics, Central Hospital, Växjö, Sweden.
Acta Orthop Scand. 1987 Aug;58(4):398-400. doi: 10.3109/17453678709146364.
Thirty-eight feet in 28 patients with rheumatoid forefoot deformity were operated on with a proximal valgus osteotomy of the first metatarsal bone to reduce splaying of the forefoot. Each patient also underwent additional surgical procedures for associated conditions of the forefoot. The mean follow-up period was 3.7 years. Both the entire forefoot and the medial border of the foot were substantially improved in all but 2 cases. Residual symptoms were slightly more pronounced in the anterior footpad and the lesser toes (5 cases). A proximal valgus osteotomy of the first metatarsal bone, performed in combination with other surgical procedures, affords a good correction of the rheumatoid foot deformity with long-term improvement.
对28例类风湿性前足畸形患者的38只足进行了第一跖骨近端外翻截骨术，以减少前足的散开。每位患者还针对前足的相关病症接受了额外的外科手术。平均随访期为3.7年。除2例患者外，所有患者的整个前足和足内侧缘均有显著改善。残留症状在前足垫和小趾处（5例）稍明显。第一跖骨近端外翻截骨术与其他外科手术联合进行，能很好地矫正类风湿性足部畸形并获得长期改善效果。
