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微创拇囊炎修复的争议问题。

Controversial Matters of Minimally Invasive Bunion Repair.

机构信息

Foot and Ankle Unit, COTE Brasília Clinic, Federal District, Brazil.

Department of Orthopedic Surgery, Foot and Ankle Center, Clínica Puerto Varas y Puerto Montt, Chile.

出版信息

Clin Podiatr Med Surg. 2025 Jan;42(1):153-166. doi: 10.1016/j.cpm.2024.07.001. Epub 2024 Oct 23.

Abstract

New minimally invasive bunion surgery for hallux valgus (HV) has received attention in the last few years. A rapid growth in knowledge and techniques has been seen, with many publications, books, and experienced surgeons worldwide. Several variational advancements have emerged with the most common as a percutaneous subcapital osteotomy first metatarsal with long scaffolding minimally invasive (MI) screw placement. MI techniques are a great advancement in the treatment of all HV severities. Supportive literature has demonstrated that MI can achieve equal to better results compared to traditional open surgery, for metrics such as satisfaction, pain, and time to full recovery.

摘要

近年来,针对拇外翻(HV)的新型微创矫形手术备受关注。随着全球越来越多的出版物、书籍和经验丰富的外科医生的出现,相关知识和技术迅速发展。目前已经出现了多种改良技术,其中最常见的是经皮第一跖骨头下骨切开术联合长支架微创(MI)螺钉固定术。MI 技术是治疗所有 HV 严重程度的重要进步。支持性文献表明,MI 在满意度、疼痛和完全康复时间等指标上可以达到与传统开放手术相当甚至更好的效果。

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