改良McBride术结合截骨术修复外翻畸形探讨

Study on the Modified McBride procedure combined with osteotomy in repairing hallux valgus deformity

目的：探讨改良McBride术结合截骨术修复外翻畸形的疗效。方法：采用改良McBride术结合截骨术修复踇外翻畸形患者36例，比较患者手术前后1个月、6个月时的外翻角测量、跖骨间角测量及足踝AOFAS评分。结果：所有病例术后随访6～24个月，外观、功能均满意，术后未发现血肿、伤口感染皮瓣坏死等并发症，手术优良率95%，各项评价标准手术前、后的差异具有统计学意义(P＜0.05)。结论：改良McBride术结合截骨术修复外翻畸形效果良好。

Objective:To investigate the curative effect of modified McBride procedure combined with osteotomy in repairing hallux valgus deformity.Methods:36 patients with hallux valgus deformity were repaired by modified McBride procedure combined with osteotomy,then the hallux valgus angle,intermetatarsal angle measurement and ankle AOFAS scores before and after surgery at the 1th and 6th months were compared.Results:All of those cases were followed up for 6～24 months.The appearance and function were satisfactory,without postoperative hematoma,wound infection and skin flap necrosis and other complications after the surgery.The excellent rate of surgery was 95% .The difference in various evaluation criteria were statistically significant between before and after the operation(P<0.05).Conclusion:Modified McBride procedure combined with osteotomy has good effect on repairing hallux valgus.