Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, Texas.
John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, Texas.
Foot Ankle Spec. 2024 Feb;17(1_suppl):53S-56S. doi: 10.1177/19386400231169376. Epub 2023 May 8.
Hallux valgus is a common condition with a complex etiology resulting in numerous treatment options. Recurrence of the deformity can occur following correction. Surgical technique and possibly also postoperative care play a role in reducing recurrence rates. This article highlights a postoperative surgical dressing technique which allows for semirigid support during the immediate postoperative period.
A wooden tongue depressor placed along the medial border of the hallux comprises the primary support for the dressing. The rigidity of the tongue depressor allows for the hallux to be drawn toward the depressor, encouraging neutral alignment of the hallux. Dressings are removed 2 weeks postoperatively, with new dressings applied in similar fashion and maintained in place until 6 weeks postoperatively.
Based upon our observations, our surgical dressing technique provides sufficient support following hallux valgus correction surgery while being straightforward to replicate without the need for frequent dressing changes. The dressing materials are of negligible cost and are typically readily available. No associated wound complications have been observed.
We present an easily replicable and affordable option for postoperative hallux valgus correction surgical dressings.
Level V: Expert Opinion.
拇外翻是一种常见病症，病因复杂，治疗方法众多。畸形矫正后可能会复发。手术技术，甚至术后护理，在降低复发率方面都起着重要作用。本文重点介绍了一种术后手术包扎技术，可在术后即刻提供半刚性支撑。
沿大脚趾内侧边缘放置一个木质压舌板，作为包扎的主要支撑。压舌板的硬度可以使大脚趾向压舌板靠拢，促使大脚趾保持中立对齐。术后 2 周去除包扎，以类似的方式应用新的包扎，并保持原位至术后 6 周。
根据我们的观察，我们的手术包扎技术为拇外翻矫正手术后提供了足够的支撑，而且易于复制，无需频繁更换包扎。包扎材料成本低，通常很容易获得。没有观察到与伤口相关的并发症。
我们提出了一种易于复制且经济实惠的拇外翻矫正手术后包扎选择。
V 级：专家意见。
