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拇外翻畸形的影像学评估与外科治疗的当前概念

Current Concepts of Radiographic Evaluation and Surgical Treatment for Hallux Valgus Deformity.

作者信息

Cho Byung Ki, Kang Dong Hun, Kang Chan, Lee Gi Soo, Song Jae Hwang

机构信息

Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju 28644, Republic of Korea.

Daejeon Centum Hospital, Daejeon 35209, Republic of Korea.

出版信息

J Clin Med. 2025 Jul 17;14(14):5072. doi: 10.3390/jcm14145072.

Abstract

Hallux valgus is one of the common causes of forefoot pain in the field of foot and ankle surgery. This condition is characterized by valgus and pronation deformities of the first ray, leading to bunion pain, metatarsalgia, callus formation, and gait disturbances. Conventional open osteotomy of the first metatarsal and proximal phalanx of the first toe has been widely performed. Recently, with increasing reports of favorable radiologic and clinical outcomes of minimally invasive surgery, this technique has been performed by many surgeons. Despite the various surgical methods available, there is still no consensus on the optimal treatment of hallux valgus, and the advantages and disadvantages of open versus minimally invasive techniques remain a topic of debate. This narrative review aims to provide a comprehensive overview of the latest radiographic evaluation and surgical treatment for hallux valgus.

摘要

拇外翻是足踝外科领域前足疼痛的常见原因之一。这种情况的特征是第一跖骨的外翻和旋前畸形,导致拇囊炎疼痛、跖痛症、胼胝形成和步态障碍。第一跖骨和第一趾近节趾骨的传统开放性截骨术已被广泛应用。近年来,随着微创手术在影像学和临床方面取得良好效果的报道不断增加,许多外科医生都采用了这种技术。尽管有多种手术方法可供选择,但对于拇外翻的最佳治疗仍未达成共识,开放手术与微创手术的优缺点仍是一个争论的话题。本叙述性综述旨在全面概述拇外翻的最新影像学评估和手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34b5/12296194/cdf564916a6b/jcm-14-05072-g001.jpg

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