Walter M J, Mostone E, Buxbaum F, Esposito F
Department of Podiatric Medicine and Surgery, Baptist Medical Center, Brooklyn, New York 11208.
J Foot Surg. 1987 Sep-Oct;26(5):400-6.
The authors present the combined use of the Keller bunionectomy with the Austin osteotomy in select cases. Severe degenerative joint disease and metatarsus primus varus with fair to good bone stock are the major criteria. This procedure offers an alternative for the elderly patient who is not a candidate for joint salvage, implant or base osteotomy. Preoperative, intraoperative and postoperative biomechanical evaluations are essential to the success of this procedure.
作者介绍了在特定病例中联合使用凯勒拇囊炎切除术和奥斯汀截骨术。严重的退行性关节疾病和第一跖骨内翻且骨质状况尚可至良好是主要标准。该手术为不适合关节挽救、植入物或基底截骨术的老年患者提供了一种替代方案。术前、术中和术后的生物力学评估对于该手术的成功至关重要。
