Oye C, Finsen V R
Ortopedisk avdeling, Regionsykehuset i Trondheim.
Tidsskr Nor Laegeforen. 1998 Oct 10;118(24):3765-7.
45 patients were included in a prospective study to evaluate the results of Mitchell's osteotomy of hallux valgus. 43 patients complained of pain preoperatively. 44 patients were reviewed after one year, and excellent results were achieved in alleviating pain for 35 of these patients. Four patients developed metatarsalgia after surgery. There was a mean improvement in the hallux valgus angle of eight degrees. The mean shortening of the first metatarsal was 6 mm (1-12 mm). This shortening showed no correlation with postoperative pain. Signs of osteoarthrotic changes in the metatarsophalangeal joint were found in one patient and early signs of osteonecrosis of the first metatarsal head in two. We conclude that in spite of some serious complications this method produces satisfactory results and can be recommended when pain over the medial prominence is the main indication.
45例患者纳入一项前瞻性研究，以评估米切尔（Mitchell）拇外翻截骨术的效果。43例患者术前诉说疼痛。44例患者在术后一年接受复查，其中35例患者在缓解疼痛方面取得了优异效果。4例患者术后出现跖痛症。拇外翻角度平均改善了8度。第一跖骨平均缩短6毫米（1 - 12毫米）。这种缩短与术后疼痛无关。1例患者发现跖趾关节有骨关节炎改变的迹象，2例患者发现第一跖骨头有早期骨坏死迹象。我们得出结论，尽管存在一些严重并发症，但该方法仍能产生令人满意的效果，当内侧突出部位疼痛为主要指征时可推荐使用。
