摘要
本文介绍了一种治疗外翻畸形的改良Ｋｅｌｌｅｒ’ｓ术。经过８２例１２１足６个月～８年的随访，畸形矫正满意，疼痛症状消失明显，治愈率为９１％。手术方法主要的改进之处在于内外切口不在同一水平面，保留囊外壁，防止皮肤与截骨面直接粘连，趾骨截除１／３～１／２为直，并以石膏外固定代替克氏针内固定。作者提出，对外翻畸形前足尚未增宽者，畸形矫正效果最佳；对前足已增宽伴第二趾屈曲畸形严重者，应在矫正外翻的同时行第二趾或第五趾的畸形矫正，否则仍会出现术后行走疼痛等症状。
AbstractEight-two cases(121 feet)of hallux valgus weretreated with rnedified Keller, s operation, The follow-upporiod extended from 6 months to 8 years;elimination ofthe pain a nd correction of the deformity were achicved in91%of the cdses.There was no petoporative infection.The rnain points of medification of the procedure were:in-cisions over the skin and the inner fascia layers were per-formed at different levels,the ourter layer was left intact during bunionectomy so as to avoid adhesion of the skinwith the bone surhce of the osteotomy .Excision of the proximal phalanx was done at the site, less than one-third or more than one-second of the phalanx shaft andpostopeative fixation was done wity a simple plaster of the hallux instead of K-wire .In cases with widened forefoot and severe flexion deformity of the second or fifth toe ,the latter can also be corrected along wity the hallux valgus.In cases asseeiated with a long second toe and Severe flatfoot, the procedure should be carried cautiously.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第12期708-710,T001,共4页
Chinese Journal of Orthopaedics
