Rokkanen P, Isolauri J, Avikainen V, Tervo T, Vaherto H
Arch Orthop Trauma Surg (1978). 1978 Oct 27;92(4):233-5. doi: 10.1007/BF02341804.
In young patients with hallux valgus, osteotomy with excision of the exostosis is frequently indicated. The basal, laterally based wedge osteotomy, is relatively seldom used. However this operation may produce a considerable reduction of the metatarsus primus varus. We modified the method by adding a small AO plate to ensure stabilization. The series consisted of 36 patients, in whom 52 feet were operated on. Pain was the most frequent indication for seeking treatment. A followup was performed an average of 1.5 years postoperatively. The subjective results were good in 41 cases, fair in nine, and poor in one. Objectively the results were good in 42 cases and fair in nine. The mean period of work was seven weeks. The metatarsus varus angle was reduced from 14.8 degrees to 9.3 degrees and the hallux valgus angle from 33.2 degrees to 17.7 degrees. The distance between the first and second metatarsal bones was reduced from 13. 7 mm to 10.2 mm. A good functional and cosmetic result was achieved in most of the cases.
在年轻的拇外翻患者中，常需进行截骨术并切除外生骨疣。基于基底外侧的楔形截骨术相对较少使用。然而，该手术可能会使第一跖骨内翻明显减轻。我们通过增加一块小型AO钢板来确保稳定，对该方法进行了改良。该系列研究包括36例患者，共对52只脚进行了手术。疼痛是最常见的就诊原因。术后平均随访1.5年。主观结果为41例良好，9例尚可，1例较差。客观结果为42例良好，9例尚可。平均误工时间为7周。第一跖骨内翻角从14.8度降至9.3度，拇外翻角从33.2度降至17.7度。第一、二跖骨间距离从13.7毫米降至10.2毫米。大多数病例取得了良好的功能和美容效果。
