Austin D W, Leventen E O
Clin Orthop Relat Res. 1981 Jun(157):25-30.
A new operation for hallux valgus consists of a horizontally directed "V" displacement osteotomy done in the head of the first metatarsal. This procedure corrects most of the primus varus, the valgus tilt of the articular surface of the first metatarsal and, if present, the axial rotation of the great toe. The osteotomy is combined with a release and balancing of soft-tissue structures on both sides of the joint. No casting and usually no internal fixation is necessary. Ambulation is generally recommended on the third postoperative day. The operative techniques, indications for surgery, clinical material, and postoperative care are discussed. The operation, when done correctly, does not result in recurrence of the deformity. Significant complications are rare.
一种新的拇外翻手术包括在第一跖骨头处进行水平方向的“V”形移位截骨术。该手术可纠正大部分第一跖骨内翻、第一跖骨关节面的外翻倾斜，以及（若存在）拇趾的轴向旋转。截骨术与关节两侧软组织结构的松解和平衡相结合。无需石膏固定，通常也无需内固定。一般建议术后第三天开始行走。文中讨论了手术技术、手术指征、临床资料及术后护理。该手术若操作正确，不会导致畸形复发。严重并发症罕见。
