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微创拇外翻手术前后足部宽度的回顾性比较。

Retrospective Comparison of Preoperative and Postoperative Foot Width in Minimally Invasive Hallux Valgus Surgery.

机构信息

International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD.

International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD; Division of Podiatry, Northwest Hospital, Randallstown, MD; Division of Podiatry, Sinai Hospital, Baltimore, MD.

出版信息

J Foot Ankle Surg. 2024 Jan-Feb;63(1):47-49. doi: 10.1053/j.jfas.2023.08.010. Epub 2023 Aug 28.

Abstract

Minimally invasive surgery (MIS) has gained popularity for hallux valgus correction in the adult population. The advantage of reproducibility of this procedure can aid in lower operating room costs, quicker recovery, and fewer complications. The purpose of this retrospective study was to compare preoperative versus postoperative foot widths in patients that underwent MIS hallux valgus correction. The average preoperative foot width was 101.1 ± 5.67 mm and postoperatively the foot width measured at 12-month follow-up was 95.9 ± 4.92 mm, which was statistically significant (p < .001). Overall, there was a 5.03 ± 3.71% reduction in foot width, with a statistically significant linear relationship between preoperative foot width and percent change in width following the procedure (R = -0.46; p = .003). Based on our results, we can conclude that MIS bunion surgery can effectively narrow the foot postoperatively, particularly in patients with a wider forefoot, adding cosmetic benefit to the procedure.

摘要

微创外科 (MIS) 在成人拇外翻矫正中越来越受欢迎。该手术具有可重复性的优势,可以降低手术室成本、加快康复速度和减少并发症。本回顾性研究的目的是比较接受 MIS 拇外翻矫正的患者术前与术后的足部宽度。平均术前足部宽度为 101.1 ± 5.67mm,术后 12 个月随访时足部宽度为 95.9 ± 4.92mm,具有统计学意义 (p<.001)。总体而言,足部宽度平均减少了 5.03 ± 3.71%,术前足部宽度与术后宽度变化百分比之间存在统计学显著的线性关系 (R=-0.46;p=.003)。根据我们的结果,我们可以得出结论,MIS 拇囊炎手术可以有效地在术后缩小足部宽度,尤其是在前足部较宽的患者中,为手术增加了美容效果。

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