Wagdy S, el-Sheshtawy O E, Megahed A H
Department of Orthopedic Surgery, Tanta University, Egypt.
J Foot Ankle Surg. 1995 Jan-Feb;34(1):65-73. doi: 10.1016/S1067-2516(09)80104-X.
Seventy-nine feet in 71 patients with hallux valgus were treated by double-V Wagdy osteotomy of the first metatarsal head. Sixty-eight per cent were totally free of pain with acceptable cosmetic appearance. Excellent and good results were obtained in 97.5% of the cases. The mean postoperative decrease of the intermetatarsal angle was 1.8 degrees and of the hallux valgus angle 22 degrees. The operation is technically simple and stable without internal fixation. It restores the length of the hallux and reduces the possible complications of nonunion, avascular necrosis, shortening of the first metatarsal, and appearance of new bone formation at the medial aspect of the osteotomy site.
对71例拇外翻患者的79只足采用第一跖骨头双V形Wagdy截骨术进行治疗。68%的患者完全无痛且外观可接受。97.5%的病例获得了优良效果。术后跖间角平均减小1.8度，拇外翻角平均减小22度。该手术技术操作简单且固定稳定，无需内固定。它恢复了拇趾长度，减少了骨不连、缺血性坏死、第一跖骨缩短以及截骨部位内侧出现新骨形成等可能的并发症。
