Kitaoka H B, Patzer G L
Department of Orthopaedics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
J Bone Joint Surg Br. 1998 May;80(3):516-8. doi: 10.1302/0301-620x.80b3.8383.
We performed distal chevron osteotomy of the second, third, or fourth metatarsal for painful plantar callosities in 19 non-rheumatoid patients (16 women, 3 men; 21 feet); their mean age was 59 years (32 to 85). The mean follow-up was four years (2 to 7). The overall results were good in 16 feet, fair in two, and poor in three, with four patients still having painful plantar callosities. There was union in all feet, but transfer metatarsalgia developed in three and three required an orthosis. Distal chevron osteotomy for intractable plantar callosities was successful both clinically and radiologically in most patients.
我们对19例非类风湿性患者（16名女性，3名男性；共21足）的第二、第三或第四跖骨进行了远端V形截骨术，以治疗足底疼痛性胼胝。他们的平均年龄为59岁（32至85岁）。平均随访时间为四年（2至7年）。16足的总体结果良好，2足一般，3足较差，4例患者仍有足底疼痛性胼胝。所有足部均愈合，但3例出现转移性跖骨痛，3例需要使用矫形器。对于顽固性足底胼胝，远端V形截骨术在大多数患者中临床和影像学效果均成功。
