Mulier T, Dereymaeker G, Fabry G
Department of Orthopaedic Surgery, Katholieke Universiteit, Leuven.
Foot Ankle Int. 1994 Oct;15(10):523-30. doi: 10.1177/107110079401501001.
Thirty-three feet in 29 patients with metatarsalgia were reviewed after Jones transfer to the lesser rays to evaluate the long-term results and the indications for these procedures. Transfer of the long extensor tendons to their respective metatarsal necks and fusion of the interphalangeal joints with shortening of the toe were performed. The procedures were performed in patients with symptoms of metatarsalgia, secondary to anterior pes cavus deformity (clawfeet, 16 patients), and in patients with mild or severe spreadfoot deformity with fall of the central metatarsals (12 patients). In all of our patients, the striking clinical sign was the long toes. Rating of the results was based on (1) the presence of pain or calluses and (2) residual deformity of the forefoot and toes. Symptoms of metatarsalgia were relieved in 25 feet, occasionally present in 6 feet, and unchanged in 2 patients. Complete correction of the deformity was achieved in 26 patients, 6 patients had slight residual deformities, and in the 1 poor result, overcorrection was present after the procedure. This operation is believed to be an excellent choice for patients with metatarsalgia due to (simple) pes cavus deformity and in patients with clawing and metatarsalgia secondary to excessively long toes.
对29例患有跖痛症的患者在进行琼斯手术将长伸肌腱转移至较小跖骨后进行了回顾，以评估这些手术的长期效果及适应证。手术内容包括将长伸肌腱转移至各自的跖骨颈，并对趾间关节进行融合同时缩短趾长。这些手术应用于因前足高弓畸形继发跖痛症的患者（爪形足，16例），以及伴有中足跖骨下沉的轻、重度扁平足畸形患者（12例）。在我们所有的患者中，明显的临床体征是趾长。结果评估基于：（1）疼痛或胼胝的存在情况；（2）前足和趾的残留畸形情况。25只足的跖痛症症状得到缓解，6只足偶尔仍有症状，2例患者症状无变化。26例患者的畸形得到完全矫正，6例患者有轻微残留畸形，1例效果不佳，术后出现了过度矫正。对于因（单纯）高弓足畸形导致跖痛症的患者，以及因趾过长继发爪形趾和跖痛症的患者，该手术被认为是一个很好的选择。
