微创治疗锤状趾畸形

Minimally Invasive Surgery in Treatment of Hammer Toe

目的评价微创手术治疗锤状趾畸形的临床疗效。方法回顾分析了西安市第一医院骨科自2012年1月至2016年1月所行218例（344趾）使用微创手术技术治疗锤状趾畸形病例,其中男性8例（16趾）,女性210例（328趾）;平均年龄59.80岁;第2趾发病215例（309趾）,第3趾发病29例（31趾）,第4趾发病4例（4趾）;合并拇外翻畸形215例（338趾）。这些病例均采用微创手术技术治疗。术前美国足踝外科医生学会（American college of foot and ankle surgeons,ACFAS）前足评分平均为（41.3±10.71）分。结果全部病例均获随访,随访时间6-30个月;术后ACFAS前足评分平均为（88.6±5.29）分,进行两样本t检验发现术前术后评分之间差异有统计学意义（P=0.000）。术后疗效评价：优198例（318趾）,占90.83%;良17例（21趾）,占7.79%;差3例（5趾）,占1.38%;优良率达98.62%。结论通过灵活采用不同的微创手术方式,锤状趾畸形术后创伤小、恢复快、并发症少、疗效满意度高。

Objective To evaluate the clinical results after minimally invasive surgery in treatment of hammer toe.Methods The clinical data of 218patients（344toes）with hammer toe who received the minimally invasive surgery between January 2012 and January 2016 were reviewed.There were 8males and 210 females with an average age of 59.80 years.215patients（309toes）suffered from hammer toe in second toe;29patients（31toes）in third toe;4patients（4toes）in fourth toe.215patients（338toes）suffered from hallux valgus at the same time.ACFAS Scoring Scale for forefoot was（41.3±10.71）before surgery.Results All patients were followed for 6-30months.ACFAS Scoring Scale for forefoot is 88.6±5.29 after surgery.The difference had statistical significance before and after surgery（P=0.000）.90.83% patients had excellent results,7.79% good,and 1.38% bad.Conclusion Hammer toe can be corrected with less trauma,faster recovery,less complications,and more satisfaction by flexibly using a variety of minimally invasive surgery.