Kempe S A, Singer R H
J Foot Surg. 1985 Jan-Feb;24(1):24-9.
A modification of the McBride bunionectomy utilizing the adductor tendon transfer is described. It includes transposition of the adductor hallucis tendon into the medial capsular flap via a pulley suture, and derotation of the sesamoidal apparatus. This is accomplished by torque placed on the medial capsular flap. It is transferred to the medial sesamoid through the tibial sesamoid ligament and then to the fibular sesamoid by the intersesamoidal ligament. The contracted fibular sesamoid ligament is sacrificed. The procedure helps to maintain reduction of an increased intermetatarsal angle, with hypermobile first ray. Another advantage is the ability to perform a concomitant metatarsal neck osteotomy, when necessary. This was not possible in the original McBride bunionectomy in which the adductor tendon was transposed to the head of the first metatarsal through a drill hole. Short-term results have been encouraging.
本文描述了一种改良的采用内收肌腱转移术的麦克布莱德拇外翻切除术。该手术包括通过滑轮缝线将拇收肌肌腱转位至内侧关节囊瓣，并使籽骨装置旋转。这是通过对内侧关节囊瓣施加扭矩来实现的。它通过胫骨籽骨韧带转移至内侧籽骨，然后通过籽骨间韧带转移至外侧籽骨。切断挛缩的外侧籽骨韧带。该手术有助于维持增大的跖间角的复位，同时第一跖骨活动度过大。另一个优点是在必要时能够同时进行跖骨颈截骨术。这在最初的麦克布莱德拇外翻切除术中是不可能的，在该手术中，内收肌腱通过钻孔转位至第一跖骨头。短期结果令人鼓舞。
