Amarnek D L, Juda E J, Oloff L M, Jacobs A M
J Foot Surg. 1986 Jul-Aug;25(4):321-6.
The authors describe their operative approach to metatarsus primus adductus deformity when present in conjunction with a congenitally short first metatarsal. Hallux abducto valgus correction in this clinical setting has traditionally advocated use of a crescentic or opening wedge osteotomy in order to prevent further shortening of the first metatarsal. Fixation of opening base wedge osteotomies has been fraught with problems in the past, with possibilities for displacement or eventual loss of initial correction. The authors have found the mini-Hoffmann external fixation device useful for this purpose.
作者描述了他们在第一跖骨内收畸形合并先天性第一跖骨短缩时的手术方法。在这种临床情况下，传统上主张采用新月形或开放楔形截骨术来矫正拇外翻，以防止第一跖骨进一步缩短。过去，开放基底楔形截骨术的固定一直存在问题，可能会发生移位或最终失去初始矫正效果。作者发现微型霍夫曼外固定器对此有用。
