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采用引导式经皮系统的第四代微创拇外翻手术：分步手术技术

Fourth-Generation Minimally Invasive Hallux Valgus Surgery With Guided Percutaneous System: Step-by-Step Surgical Technique.

作者信息

Campillo-Recio David, Quezada-Peralta Eduardo, Farré-Galofré Inés, Calle-García Juan-Antonio, Maldonado-Sotoca Yeray, Peniche-Soto Oscar, Albertí-Fitó Glòria

机构信息

Institut Català de Traumatologia i Medicina de l'Esport, Hospital Universitari Dexeus, Barcelona, Spain.

Servicio de Traumatología y Ortopedia, Hospital Dr. Gustavo Fricke, Viña del Mar, Chile.

出版信息

Arthrosc Tech. 2025 Mar 20;14(6):103504. doi: 10.1016/j.eats.2025.103504. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103504
PMID:40656733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255461/
Abstract

Hallux valgus is a common condition in foot and ankle surgery practice. Nonoperative treatment is the first line of management in painful cases. Once these actions have failed, surgical treatment is indicated. Minimally invasive surgery has gained popularity owing to its favorable clinical and radiologic outcomes. Nevertheless, the learning curve of these procedures may be difficult in the initial cases. To solve this problem, some guided devices have been developed. The objective of this technical note is to describe 3-dimensional hallux valgus deformity correction surgery through a guided percutaneous system.

摘要

拇外翻是足踝外科临床常见疾病。对于疼痛性病例，非手术治疗是首选治疗方法。一旦这些措施失败，则需进行手术治疗。由于其良好的临床和影像学效果，微创手术越来越受欢迎。然而，在最初的病例中，这些手术的学习曲线可能较困难。为了解决这个问题，已经开发了一些引导装置。本技术说明的目的是描述通过引导经皮系统进行的三维拇外翻畸形矫正手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/8e890b5dc75a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/9df7c0e9fc0f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/bc7a81b9d49f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/ac5c04aa63f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/62511500e047/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/36d3fdc65280/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/6d23b0fb152d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/8e890b5dc75a/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/9df7c0e9fc0f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/bc7a81b9d49f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/ac5c04aa63f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/62511500e047/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/36d3fdc65280/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/6d23b0fb152d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71ae/12255461/8e890b5dc75a/gr7.jpg

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本文引用的文献

1
Correction of First Metatarsal Pronation in Metaphyseal Extra-articular Transverse Osteotomy for Hallux Valgus Correction.用于拇外翻矫正的干骺端关节外横向截骨术中第一跖骨旋前的矫正
Foot Ankle Orthop. 2023 Sep 19;8(3):24730114231198527. doi: 10.1177/24730114231198527. eCollection 2023 Jul.
2
Fourth-Generation Minimally Invasive Hallux Valgus Surgery With Metaphyseal Extra-Articular Transverse and Akin Osteotomy (META): 12 Month Clinical and Radiologic Results.第四代微创拇外翻手术：干骺端额外关节横向和类似截骨术（META）：12 个月的临床和放射学结果。
Foot Ankle Int. 2023 Mar;44(3):178-191. doi: 10.1177/10711007231152491. Epub 2023 Feb 14.
3
Hallux Valgus.
拇外翻
Foot Ankle Orthop. 2019 May 7;4(2):2473011419838500. doi: 10.1177/2473011419838500. eCollection 2019 Apr.
4
3rd generation MICA with the "K-wires-first technique" - a step-by-step instruction and preliminary results.第三代 MICA 采用“克氏针先行技术”- 分步指导及初步结果。
BMC Musculoskelet Disord. 2022 Jan 18;23(1):66. doi: 10.1186/s12891-021-04972-5.
5
Learning Curve for Minimally Invasive Surgery and How to Minimize It.微创手术学习曲线及其最小化方法。
Foot Ankle Clin. 2020 Sep;25(3):361-371. doi: 10.1016/j.fcl.2020.05.002. Epub 2020 Jul 11.
6
Is the Rotational Deformity Important in Our Decision-Making Process for Correction of Hallux Valgus Deformity?在我们矫正拇外翻畸形的决策过程中，旋转畸形重要吗？
Foot Ankle Clin. 2018 Jun;23(2):205-217. doi: 10.1016/j.fcl.2018.01.009. Epub 2018 Mar 9.
7
Clinical and Radiological Outcomes Comparing Percutaneous Chevron-Akin Osteotomies vs Open Scarf-Akin Osteotomies for Hallux Valgus.比较经皮 Chevron-Akin 截骨术与开放性 Scarf-Akin 截骨术治疗拇外翻的临床和影像学结果
Foot Ankle Int. 2018 Mar;39(3):311-317. doi: 10.1177/1071100717745282. Epub 2017 Dec 14.
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Foot Ankle Int. 2017 Aug;38(8):838-846. doi: 10.1177/1071100717704941. Epub 2017 May 5.
9
The pathogenesis of hallux valgus.拇外翻的发病机制。
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