Selner A J, Bogdan R, Selner M D, Bunch E K, Mathews R L, Riley J
Los Angeles Institute of Foot, Ankle, and Bunion Surgery, North Hollywood Medical Center, CA, USA.
J Am Podiatr Med Assoc. 1997 Sep;87(9):414-24. doi: 10.7547/87507315-87-9-414.
The authors propose the use of the tricorrectional osteotomy for treatment of severe hallux limitus/rigidus as an alternative to joint-destructive procedures. A study of 19 patients with follow-up treatment ranges of 10 months to 6 years postoperatively was performed. Data were collected on preoperative and long-term postoperative x-rays, range of motion assessment, F-scan studies, and subjective patient questionnaires. High patient satisfaction along with increased range of motion, minimal complications, and an early return to activities make this an ideal procedure for grades II, III, and IV hallux limitus/rigidus.
作者提议采用三矫正截骨术治疗重度拇趾僵硬症，以此替代关节破坏手术。对19例患者进行了研究，术后随访时间为10个月至6年。收集了术前和术后长期的X线片、活动度评估、F扫描研究以及患者主观问卷等数据。患者满意度高，同时活动度增加、并发症极少且能早期恢复活动，这使得该手术成为治疗II级、III级和IV级拇趾僵硬症的理想术式。
