Brink D S, Levitsky D R
Department of Orthopedic Surgery, Botsford General Hospital, Farmington Hills, Michigan, USA.
J Foot Ankle Surg. 1995 Jul-Aug;34(4):371-8. doi: 10.1016/S1067-2516(09)80007-0.
Metatarsus adductus is a deformity in which the metatarsals are deviated in the transverse plane when compared with the longitudinal axis of the lesser tarsus. A brief review of the deformity is presented including the causes, radiographic analysis, conservative treatment, and a surgical approach. A series of cases of metatarsus adductus is presented in which a proximal surgical approach consisted of cuneiform and cuboid wedge osteotomies with staple fixation. The described procedure has advantages over the traditional metatarsal wedge osteotomies by providing large cancellous bone-to-bone interfaces for excellent healing potential, easier fixation, sagittal plane stability, and avoidance of the physis at the base of the first metatarsal.
内收型跖骨是一种畸形，与小跗骨的纵轴相比，跖骨在横平面上发生偏斜。本文简要回顾了该畸形，包括病因、影像学分析、保守治疗和手术方法。本文介绍了一系列内收型跖骨病例，其中近端手术方法包括楔形截骨术和用U形钉固定骰骨。所描述的手术方法比传统的跖骨楔形截骨术具有优势，它提供了大的松质骨对骨界面，具有良好的愈合潜力、更容易固定、矢状面稳定性，并避免了第一跖骨基部的生长板。
