趾长伸肌腱转位治疗小趾非僵硬型爪形趾

Transposition of extensor digitorum longus tendon for treatment of small toe non-rigid claw toe

目的探讨趾长伸肌腱转位治疗小趾非僵硬型爪形趾的临床效果。方法采用趾长伸肌腱转位治疗小趾非僵硬型爪形趾,根据美国足踝外科协会(AOFAS)踝-后足评分、视觉模拟评分(VAS)、患者主观满意度评估其疗效。结果术后平均随访(15±3)个月,所有患者畸形矫正满意。AOFAS评分:术前平均(63.27±5.69)分,术后平均(94.45±3.93)分,差异具有统计学意义(P<0.01)。VAS评分:术前(6.64±1.67)分,术后平均(0.27±0.47)分,差异具有统计学意义(P<0.01)。患者主观满意率为90.91%。结论趾长伸肌腱转位治疗小趾非僵硬型爪形趾,临床效果满意,畸形无复发,是治疗小趾非僵硬型爪形趾的有效方法。

Objective To investigate the clinical effect of extensor digitorum longus tendon transposition in the treatment of small toe non-rigid claw toe.Methods Extensor digitorum longus tendon transposition was used to treat non-rigid claw toes of small toes.The curative effect was evaluated according to AOFAS,VAS and subjective satisfaction of patients.Results The average follow-up period was (15±3) months.All patients were satisfied with the correction of deformity.AOFAS score: preoperative average (63.27±5.69) points,postoperative average (94.45±3.93) points,the difference was statistically significant (P< 0.01).Visual analogue scale (VAS): preoperative (6.64±1.67) score and postoperative average (0.27±0.47) score,the difference was statistically significant (P< 0.01). The subjective satisfaction rate was 90.91%.Conclusion Extensor digitorum longus tendon transposition is an effective method for the treatment of small toe non-rigid claw-shaped toe with satisfactory clinical effect and no recurrence of deformity.