Seiberg M, Felson S, Colson J P, Barth A H, Green R M, Green D R
Mercy Hospital and Medical Center, San Diego.
J Am Podiatr Med Assoc. 1994 Nov;84(11):548-63. doi: 10.7547/87507315-84-11-548.
Hallux abducto valgus with concomitant metatarsus primus adductus was treated by either an isolated Austin bunionectomy or by a combination of a modified McBride bunionectomy, along with a closing base wedge osteotomy, on a total of 73 patients (88 feet) from 1983 to 1993. Both subjective and objective similarities and differences were compared between these two groups of patients. Long-term elevation or depression of the first ray was analyzed by using a technique termed sagittal plane displacement. The prevalent preoperative symptoms were significantly reduced postoperatively in both groups of patients. Initial postoperative elevation of the first ray occurred in approximately one third of the cases in both groups. Long-term elevation of the first ray was greater with the base wedge osteotomy and did not change appreciably with the Austin procedure. The sagittal plane displacement method is a helpful tool in analyzing changes in the position of the first ray perioperatively.
1983年至1993年期间，对73例患者（88足）的伴有第一跖骨内收的拇外翻畸形，采用单纯奥斯汀拇囊炎切除术或改良麦克布莱德拇囊炎切除术联合闭合性基底楔形截骨术进行治疗。比较了这两组患者主观和客观方面的异同。采用一种称为矢状面移位的技术分析第一跖骨的长期抬高或压低情况。两组患者术前普遍存在的症状在术后均显著减轻。两组中约三分之一的病例术后初期出现第一跖骨抬高。基底楔形截骨术后第一跖骨的长期抬高更明显，而奥斯汀手术对此变化不大。矢状面移位法是分析第一跖骨围手术期位置变化的有用工具。
