Background: Hallux valgus deformity is one of the most common chronic and progressive foot deformities. Surgical correction of the deformity plays a central role in the treatment of symptomatic hallux valgus. However,...Background: Hallux valgus deformity is one of the most common chronic and progressive foot deformities. Surgical correction of the deformity plays a central role in the treatment of symptomatic hallux valgus. However, more than one hundred different surgical techniques have been described. Objective: To assess the radiological outcome of hallux valgus surgical correction using a scarf and akin osteotomies. Materials and methods: A cross-sectional hospital-based study was conducted on 25 adult patients (36 feet). Twenty-two females and two males with hallux valgus were treated with surgical correction using a scarf and akin osteotomies. All candidates were kept on regular postoperative, scheduled clinical follow-up programs for one year and assessed radiologically. Results: Twenty-five patients (36 feet) were included in this study. The hallux valgus angle significantly shifted to the normal range (less than 15°) after surgery, and the inter-metatarsal angle also improved to the normal range (less than 9°). Conclusion: Using scarf and akin osteotomies in treating moderate and severe hallux valgus deformity provides the satisfactory radiological outcomes in form of decreasing hallux valgus angle and inter-metatarsal angle.展开更多
背景:外翻为足踝外科常见病、多发病,目前以各种手术治疗为主,术后效果及复发率有较大差异。目的:探讨Scarf截骨联合其他手术方式治疗中、重度外翻的短期疗效。方法:2008年7月至2010年6月,采用Scarf截骨治疗中、重度外翻患者33例(41足),...背景:外翻为足踝外科常见病、多发病,目前以各种手术治疗为主,术后效果及复发率有较大差异。目的:探讨Scarf截骨联合其他手术方式治疗中、重度外翻的短期疗效。方法:2008年7月至2010年6月,采用Scarf截骨治疗中、重度外翻患者33例(41足),男4例(4足),女29例(37足);年龄24～69岁,平均51.7岁。在Scarf截骨的基础上部分患者联合第一跖趾关节骨赘切除、软组织松解及趾近节趾骨Akin截骨等手术方式。采用美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)Maryland跖趾关节评分系统进行疗效评估。随访时摄足负重位X线片并测量外翻角(hallux valgus angle,HVA)和第一、二跖骨间角(intermetatarsal angle,IMA)。结果:所有患者均获随访,时间12～36个月,平均20.4个月。HVA由术前32.78°矫正至10.18°,IMA由术前11.57°矫正至6.26°。Maryland跖趾关节评分:90～100分28足(68.3%),80～89分11足(26.8%),70～79分2足(4.9%),优良率为95.1%(39/41)。结论:Scarf截骨术具有较好的自身稳定性,纠正畸形能力强,愈合快,坚固的内固定可使患者早期下地活动,并发症相对较少,联合其他手术方式是治疗中、重度外翻的理想方法。展开更多
文摘Background: Hallux valgus deformity is one of the most common chronic and progressive foot deformities. Surgical correction of the deformity plays a central role in the treatment of symptomatic hallux valgus. However, more than one hundred different surgical techniques have been described. Objective: To assess the radiological outcome of hallux valgus surgical correction using a scarf and akin osteotomies. Materials and methods: A cross-sectional hospital-based study was conducted on 25 adult patients (36 feet). Twenty-two females and two males with hallux valgus were treated with surgical correction using a scarf and akin osteotomies. All candidates were kept on regular postoperative, scheduled clinical follow-up programs for one year and assessed radiologically. Results: Twenty-five patients (36 feet) were included in this study. The hallux valgus angle significantly shifted to the normal range (less than 15°) after surgery, and the inter-metatarsal angle also improved to the normal range (less than 9°). Conclusion: Using scarf and akin osteotomies in treating moderate and severe hallux valgus deformity provides the satisfactory radiological outcomes in form of decreasing hallux valgus angle and inter-metatarsal angle.
文摘目的探讨改良Scarf截骨锁定钢板固定治疗老年女性中重度拇外翻畸形的临床疗效。方法回顾性分析2016年4月至2018年10月收治的采用改良Scarf截骨锁定钢板固定治疗的26例中重度老年女性拇外翻患者的临床资料,比较手术前后拇外翻角(hafiux valgus angle,HVA),第1、2跖骨间角(intermetatarsal angle,IMA),并采用美国足踝外科协会第一跖趾关节评分(AOFAS)评价临床疗效。结果 26例患者均获随访,时间12~16个月,平均(14.8±4.2)个月。手术切口均未发生感染、无皮肤坏死及神经损伤发生。术前HVA、IMA高于术后6个月,差异有统计学意义(P<0.05)。术前AOFAS评分低于术后6个月,差异有统计学意义(P<0.05)。结论改良Scarf截骨锁定钢板固定治疗老年女性中重度拇外翻畸形,可有效纠正拇外翻畸形,牢固固定,改善患者临床症状。
文摘背景:外翻为足踝外科常见病、多发病,目前以各种手术治疗为主,术后效果及复发率有较大差异。目的:探讨Scarf截骨联合其他手术方式治疗中、重度外翻的短期疗效。方法:2008年7月至2010年6月,采用Scarf截骨治疗中、重度外翻患者33例(41足),男4例(4足),女29例(37足);年龄24～69岁,平均51.7岁。在Scarf截骨的基础上部分患者联合第一跖趾关节骨赘切除、软组织松解及趾近节趾骨Akin截骨等手术方式。采用美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)Maryland跖趾关节评分系统进行疗效评估。随访时摄足负重位X线片并测量外翻角(hallux valgus angle,HVA)和第一、二跖骨间角(intermetatarsal angle,IMA)。结果:所有患者均获随访,时间12～36个月,平均20.4个月。HVA由术前32.78°矫正至10.18°,IMA由术前11.57°矫正至6.26°。Maryland跖趾关节评分:90～100分28足(68.3%),80～89分11足(26.8%),70～79分2足(4.9%),优良率为95.1%(39/41)。结论:Scarf截骨术具有较好的自身稳定性,纠正畸形能力强,愈合快,坚固的内固定可使患者早期下地活动,并发症相对较少,联合其他手术方式是治疗中、重度外翻的理想方法。
