Blum J L
Southwestern Medical School, Dallas, Texas.
Foot Ankle Int. 1994 Mar;15(3):103-6. doi: 10.1177/107110079401500304.
A total of 204 modified Mitchell osteotomy-bunionectomy procedures with Steinmann pin fixation were evaluated by radiograph, history, and physical examination with long-term personal follow-up. The specific surgical technique modifications used in this series are discussed. This modified procedure produced 91% good or excellent results in this series. The complications or unsatisfactory results were due to partial avascular necrosis, lateral metatarsalgia, incomplete correction of hallux valgus, or late stress fractures. These unsatisfactory results led to the development of specific preoperative surgical criteria for the procedure in addition to the technical modifications.
通过X线片、病史及体格检查，并进行长期个人随访，对总共204例采用斯氏针固定的改良米切尔截骨术-拇囊炎切除术进行了评估。讨论了本系列中使用的具体手术技术改良。在本系列中，这种改良手术产生了91%的良好或优秀结果。并发症或不满意结果归因于部分缺血性坏死、外侧跖骨痛、拇外翻矫正不完全或晚期应力性骨折。除了技术改良外，这些不满意结果还促使制定了该手术的具体术前手术标准。
