Capasso G, Testa V, Maffulli N, Barletta L
2nd University of Napoli Medical School, 1st Institute of Orthopaedics, Italy.
Clin Orthop Relat Res. 1994 Nov(308):43-9.
The Keller-Lelievre technique for hallux valgus correction was modified by detaching the extensor hallucis brevis tendon from the proximal phalanx, and reattaching it on the medial sesamoid. Thirty-five consecutive patients were assigned randomly to 1 of 2 groups. Patients in Group 1 received the modified operation, and the original Keller-Lelievre technique was used for the control group. The only significant radiographic difference at 6 months was the distance between the first and the fifth metatarsal heads. There were only slightly significant differences in function and in pain relief between the 2 groups at the 6th postoperative month. At 3 years, these differences were greater, with the group treated by the modification described herein, retaining significant correction and showing better functional results.
凯勒-勒利夫尔（Keller-Lelievre）拇外翻矫正技术通过将拇短伸肌腱从近节趾骨分离，并重新附着于内侧籽骨进行了改良。35例连续患者被随机分为2组中的1组。第1组患者接受改良手术，对照组采用原始的凯勒-勒利夫尔技术。6个月时唯一显著的影像学差异是第一和第五跖骨头之间的距离。术后第6个月，两组在功能和疼痛缓解方面仅有轻微的显著差异。3年时，这些差异更大，采用本文所述改良方法治疗的组保持了显著的矫正效果，并显示出更好的功能结果。
