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拇外翻手术。莫顿和拉皮德斯是正确的!

Hallux valgus surgery. Morton and Lapidus were right!

作者信息

Hansen S T

机构信息

Department of Orthopedics, Harborview Medical Center, Seattle, Washington, USA.

出版信息

Clin Podiatr Med Surg. 1996 Jul;13(3):347-54.

PMID:8829031
Abstract

More than 60 years ago an anatomist, Dudley Morton, and an orthopaedic surgeon, Paul Lapidus, independently published similar theories that implicated excessive mobility of the first metatarsal in forefoot dysfunction. Morton first studied in detail the evolution of the foot leading to bipedal gait and then examined the feet of many of his students in an attempt to correlate his tentative assumptions with the presence of or lack of symptoms. Morton's analysis of forefoot dysfunction provides the foundation of modern surgical procedures that restore normal forefoot balance and function to asymptotic feet.

摘要

60多年前,解剖学家达德利·莫顿和骨科医生保罗·拉皮德斯各自独立发表了相似的理论,认为第一跖骨过度活动与前足功能障碍有关。莫顿首先详细研究了导致双足步态的足部进化过程,然后检查了许多学生的足部,试图将他的初步假设与症状的有无联系起来。莫顿对前足功能障碍的分析为现代外科手术奠定了基础,这些手术旨在恢复无症状足部的正常前足平衡和功能。

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引用本文的文献

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Surgical Techniques for Lapidus Arthrodesis: Approaches, Indications, and Outcomes.拉皮德斯关节融合术的手术技术:入路、适应证及疗效
J Clin Med. 2025 Jun 28;14(13):4591. doi: 10.3390/jcm14134591.
2
Weightbearing Imaging Assessment of Midfoot Instability in Patients with Confirmed Hallux Valgus Deformity: A Systematic Review of the Literature.确诊拇外翻畸形患者中足不稳的负重影像评估:文献系统综述
Diagnostics (Basel). 2024 Jan 16;14(2):193. doi: 10.3390/diagnostics14020193.
3
Effectiveness of the Lapidus plate system in foot surgery: A PRISMA compliant systematic review.
跟骨骨刺切除术联合 Lapidus 钢板固定术与单纯跟骨骨刺切除术治疗跟痛症的疗效比较:一项基于 PRISMA 指南的系统评价。
Int Wound J. 2022 Mar;19(3):507-514. doi: 10.1111/iwj.13649. Epub 2021 Jul 13.
4
Consensus on Surgical Management of Hallux Valgus from China.中国拇外翻外科治疗的专家共识
Orthop Surg. 2015 Nov;7(4):291-6. doi: 10.1111/os.12207.
5
Hallux valgus and hypermobility of the first ray: facts and fiction.拇外翻与第一跖骨的过度活动:事实与虚构。
Int Orthop. 2013 Sep;37(9):1655-60. doi: 10.1007/s00264-013-1977-3. Epub 2013 Jul 30.