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使用六足环形外固定器矫正重度复发性拇内翻

Correcting Severe Relapsed Hallux Varus Using Hexapod Circular External Fixator.

作者信息

Galal Sherif

机构信息

From Limb Lengtheneing and Complex Reconstruction Service, Khoula Hospital, Ministry of Health, Muscat, Oman; and the Department of Orthopaedic Surgery, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt.

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2024 Dec 4;8(12). doi: 10.5435/JAAOSGlobal-D-24-00064. eCollection 2024 Dec 1.

DOI:10.5435/JAAOSGlobal-D-24-00064
PMID:39637255
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620725/
Abstract

Congenital hallux varus is an unusual condition in which the big toe is medially angulated at the metatarsophalangeal joint. Different surgical methods have been described to correct it; however, there is always a risk of recurrence. The multiplanar nature of the deformity and the disrupted anatomy from a previous surgery make recurrent cases difficult to treat. A 16-year-old adolescent boy presented with a recurrent hallux varus deformity after a previous surgical correction. This case report describes its successful treatment using a hexapod circular external fixator as a salvage procedure.

摘要

先天性拇内翻是一种罕见的病症，其中大脚趾在跖趾关节处向内侧成角。已经描述了不同的手术方法来矫正它；然而，总是存在复发的风险。畸形的多平面性质以及先前手术造成的解剖结构破坏使得复发病例难以治疗。一名16岁的青少年男性在先前手术矫正后出现复发性拇内翻畸形。本病例报告描述了使用六足环形外固定器作为挽救手术成功治疗该病例的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/23c9f8a9bf10/jagrr-8-e24.00064-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/270aa1fc3013/jagrr-8-e24.00064-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/d81a1f366b16/jagrr-8-e24.00064-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/511c8eac5acb/jagrr-8-e24.00064-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/eaec3a4a0333/jagrr-8-e24.00064-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/adf72e277f98/jagrr-8-e24.00064-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/987796ed0380/jagrr-8-e24.00064-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/0bbbeb7891e0/jagrr-8-e24.00064-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/23c9f8a9bf10/jagrr-8-e24.00064-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/270aa1fc3013/jagrr-8-e24.00064-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/d81a1f366b16/jagrr-8-e24.00064-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/511c8eac5acb/jagrr-8-e24.00064-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/eaec3a4a0333/jagrr-8-e24.00064-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/adf72e277f98/jagrr-8-e24.00064-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/987796ed0380/jagrr-8-e24.00064-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/0bbbeb7891e0/jagrr-8-e24.00064-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f808/11620725/23c9f8a9bf10/jagrr-8-e24.00064-g008.jpg

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本文引用的文献

1
Complex rigid foot deformity correction with hexapod external fixator system.六足外固定架系统治疗复杂僵硬性足畸形
Int Orthop. 2023 Nov;47(11):2773-2780. doi: 10.1007/s00264-023-05897-5. Epub 2023 Jul 18.
2
Congenital Hallux Varus: A Rare Forefoot Deformity.先天性拇内翻：一种罕见的前足畸形。
Cureus. 2021 Sep 15;13(9):e17995. doi: 10.7759/cureus.17995. eCollection 2021 Sep.
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Treatment of complex foot deformities with hexapod external fixator in growing children and young adult patients.六足外固定架治疗儿童和青少年生长期复杂足畸形
Foot Ankle Surg. 2019 Oct;25(5):623-629. doi: 10.1016/j.fas.2018.07.001. Epub 2018 Jul 9.
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Surgical treatment of congenital hallux varus.先天性拇内翻的手术治疗
Clin Orthop Surg. 2014 Jun;6(2):216-22. doi: 10.4055/cios.2014.6.2.216. Epub 2014 May 16.
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Congenital hallux varus.先天性拇内翻。
Am J Surg. 1958 Feb;95(2):274-8. doi: 10.1016/0002-9610(58)90515-4.