Idusuyi O B, Kitaoka H B, Patzer G L
Mayo Graduate School of Medicine, Rochester, Minnesota, USA.
Foot Ankle Int. 1998 Jun;19(6):351-5. doi: 10.1177/107110079801900602.
Twenty patients (14 women and 6 men) (23 feet) had a single oblique osteotomy operation of the 2nd, 3rd, or 4th metatarsal without fixation during an 8-year period. The mean age was 46 years (range, 21-64 years). Each patient had a painful intractable plantar keratosis preoperatively. The average follow-up was 10 years (range, 3-14 years). Postoperatively, reoperation was performed in four feet because of painful callosities. For 13 of the 19 feet that did not have reoperation, patients were limited in footwear or required a shoe insert. Overall results were good for 10 feet, fair for 7 feet, and poor for 6 feet. The only complication was a deep infection that occurred in one foot (good result). Nonunion occurred in one foot and delayed union in one. The average decrease in metatarsal length after osteotomy was 6+/-6 mm. The single oblique lesser metatarsal osteotomy may be successful, but one half of the patients continued to have some degree of pain and most patients had limitations in footwear. Overall results were disappointing, and patients who are offered this procedure should be advised of its limitations.
20例患者（14名女性和6名男性）（共23只脚）在8年期间接受了第2、3或4跖骨的单次斜行截骨术，未进行固定。平均年龄为46岁（范围21 - 64岁）。每位患者术前均患有顽固性疼痛性足底角化病。平均随访时间为10年（范围3 - 14年）。术后，4只脚因疼痛性胼胝进行了再次手术。在19只未进行再次手术的脚中，有13只患者的鞋类选择受限或需要鞋垫。总体结果为10只脚良好，7只脚一般，6只脚较差。唯一的并发症是1只脚发生了深部感染（结果良好）。1只脚出现骨不连，1只脚出现延迟愈合。截骨术后跖骨长度平均缩短6±6毫米。单次斜行小跖骨截骨术可能成功，但一半的患者仍有一定程度的疼痛，且大多数患者的鞋类选择受限。总体结果令人失望，应告知接受该手术的患者其局限性。
