改良的拇外翻畸形矫治术

Effects of osteoabrasive operation in treating pollex valgus to replace of Keller's Ostectomy

目的:探讨骨磨削替代Keller手术的骨切除治疗拇外翻畸形的临床疗效。方法:特制不锈钢螺旋骨磨头,磨削显露突向内侧的跖骨头和增生骨赘代替Keller手术的骨切除;同时与Mcbride手术相结合治疗拇外翻畸形。结果:采用此手术方法为38例患者行拇外翻畸形整复,并进行一年的随访,总优良率86%,效果满意。结论:Mcbride手术和骨磨削手术相结合矫正拇外翻畸形,创伤小、恢复快、疗效肯定。

Objective To explor the therapetic effect of the osteoabrasive operation in treating pollex valgus to replace Keller＇s Ostectomy. Methods Pollex valgus cases were treated by the osteoabrasive and Mcbride＇s operation to abrase the bead of the metatarsal bone and osteophyte to replace of the Keller＇s Ostectomy. Results The therapetic effctiveness were more satisfactory on 38 cases with pollex valgus which were treated by the ostecoabrasive operation than the Keller＇s ostectomy,the superion rate of the former is 86 percent after one year. Conclusion The mcbride operation combined with the osteoabrasive has small trauma,faster recovery and firm curative effect on correcting pollex valgus.