摘要
目的]探讨改良单螺钉Scarf截骨治疗[母]外翻的临床疗效。[方法]回顾性分析2020年6月-2021年2月作者采用改良单螺钉Scarf截骨[母]外翻23例(30足),记录临床及影像结果。[结果]所有患者均顺利完成手术,术中无血管、神经损伤等并发症发生。手术时间平均(45.5±13.9)min,术中出血量平均(52.7±11.9)ml。所有患者均获随访12个月以上,与术前相比,末次随访时VAS评分显著减少(P<0.05),AOFAS评分显著增加(P<0.05);末次随访时足部外形恢复良好,无[母]外翻复发和[母]囊疼痛。影像方面。末次随访时[母]外翻角(hallux valgus angle,HVA)、第一二跖骨间角(intermetatarsal angle,IMA)、第一跖骨远端关节面角(distal metatarsal articular angle,DMAA),以及Handy-Clapham胫侧籽骨分度均较术前显著减小(P<0.05)。[结论]改良单螺钉Scarf截骨治疗[母]外翻临床疗效满意。
[Objective]To explore the clinical outcomes of modified single-screw Scarf osteotomy for correction of hallux valgus.[Methods]From June 2020 to February 2021,a total of 23 patients(30 feet)underwent the modified single-screw Scarf osteotomy for treatment of hallux valgus in our hospitals.The clinical and imaging data were compared between themselves preoperatively and at the last follow-up.[Results]All patients were successfully operated on without postoperative complications,and followed up for more 12 months.Compared with those preoperatively,the VAS score significantly reduced(P<0.05),while the AOFAS score significantly increased at the latest follow up(P<0.05).Radiographically,the hallux valgus angle(HVA),intermetatarsal angle(IMA),distal metatarsal articular angle(DMAA),and Handy-Clapham tibial sesamoid scale significantly declined at the latest follow up compared with those preoperatively(P<0.05).[Conclusion]This modified single-screw Scarf osteotomy does achieve satisfactory clinical outcomes for correction of hallux valgus.
作者
卜鹏飞
马鑫榆
浦路桥
张晓艳
徐永清
李川
BU Peng-fei;MA Xin-yu;PU Lu-qiao;ZHANG Xiao-yan;XU Yongqing;LI Chuan(The 920^(th)Hospital,Joint Logistics Support Force of PLA,Kunming 650000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第9期847-850,共4页
Orthopedic Journal of China
基金
云南省重大科技专项-生物医药重大专项项目(编号:2018ZF008)
云南省卫健委临床中心建设重大项目(编号:ZX20191001)。
