扇形足治疗的探讨

Exploration of the treatment of fan foot

作者提出了扇形足的定义。对足的解剖重点叙述了跖横韧带的问题。本组３例，采用竹排样的肌腱固定１．２．３．４．５跖骨颈，加上改良的ＭｃＢｒｉｄｅ手术，重建了横弓，使前足宽度变窄，１．２．３．４．５跖骨之间的夹角缩小，同时矫正了外翻及小趾内收畸形。随访１８个月～３２个月，扇形足得到矫正，效果满意。

The authors proposed a definition for fan foot which emphasised the anatomical changes of the metatarsal transversal ligaments. 3 cases were treated with parallel tendon fixation and a modified McBride operation. By fixating the metatarsal necks the transverse arch was reconstructed, the width of the fore foot and the angle between the metatarsals was decreased, and the deformities of the fifth toe and the hallux vagus were corrected. Patients were followed up for 18～32 months with a satisfactory clinical outcome.