Mackay D C, Blyth M, Rymaszewski L A
Orthopaedic Department, Stobhill Hospital, Glasgow, UK.
J Foot Ankle Surg. 1997 Sep-Oct;36(5):337-40. doi: 10.1016/s1067-2516(97)80032-4.
The aim of this study was to evaluate and compare the outcome of cheilectomy for patients with grades 1, 2, and 3 hallux rigidus according to Regnauld's classification. We evaluated 39 patients at a mean of 3.8 years after surgery for pre- versus postoperative changes in pain, activity level, difficulties with footwear, tiptoe walking, and metatarsophalangeal joint range of motion. We used Wilcoxon paired rank tests to compare outcomes for each grade of hallux rigidus. There was significant improvement (p < 0.05) in pain, activity level, tiptoe walking, and range of motion for all three grades of hallux rigidus. Footwear selection was significantly improved in Grades 1 and 2 patients but not in patients with Grade 3 hallux rigidus.
本研究的目的是根据雷尼奥分类法评估和比较1级、2级和3级僵硬性拇趾患者行趾骨切除术的结果。我们评估了39例患者，平均术后3.8年，比较术前与术后疼痛、活动水平、穿鞋困难、踮脚行走及跖趾关节活动范围的变化。我们使用威尔科克森配对秩和检验来比较各等级僵硬性拇趾的结果。所有三个等级的僵硬性拇趾患者在疼痛、活动水平、踮脚行走和活动范围方面均有显著改善（p < 0.05）。1级和2级患者在鞋类选择方面有显著改善，但3级僵硬性拇趾患者没有。
