Scranton P E, Zuckerman J D
J Pediatr Orthop. 1984 Jan;4(1):39-43. doi: 10.1097/01241398-198401000-00009.
The results of bunion surgery on 50 feet in 31 adolescents are reviewed. Average follow-up was 3 years 2 months. The failure rate was 36%. Fifty-one percent of the children had hypermobile flatfeet, and 32% had a long first ray. The recurrence rate in these groups was 56 and 50%, respectively. There were 20 reoperations for either recurrence (12) or hardware removal (eight). Elective bunion surgery in adolescents should only be performed in the face of progressive, painful deformity where both the patient and the patient's parents fully understand the goals and risks of surgery.
回顾了31名青少年50只足拇外翻手术的结果。平均随访时间为3年2个月。失败率为36%。51%的儿童有柔韧性扁平足，32%有第一跖骨过长。这些组的复发率分别为56%和50%。因复发（12例）或取出内固定物（8例）进行了20次再次手术。青少年择期拇外翻手术仅应在出现进行性疼痛畸形且患者及其父母充分了解手术目标和风险的情况下进行。
