Austin手术治疗轻中度青少年外翻  

Effects of Austin surgery for mild and moderate juvenile hallux valgus

作　　者：胡令东[1] 郑建森[1] 李文勤[1] 张军[1] 李吉忠[1] 

机构地区：[1]山东省泰安荣军医院骨科足踝外科,山东271000

出　　处：《中国矫形外科杂志》2008年第21期1622-1624,共3页Orthopedic Journal of China

摘　　要：[目的]探讨Austin手术治疗轻中度青少年拇外翻的疗效。[方法]2005年11月～2007年1月，采用Aus—tin手术治疗轻中度青少年拇外翻病人16例，28足，年龄17～19岁，平均17．8岁，术前、术后12个月及术后15个月时摄负重位X线片，测量拇外翻角（HVA），近端关节固定角（PASA），远端关节固定角（DASA），第1、2跖骨间角（IMA），术前、术后各组数据采用t检验进行统计学处理分析。[结果]16例28足全部得到随访，最短随访到术后15个月，最长的1例随访到术后27个月，平均随访时间16．9个月，拇外翻角较术前改善14．6°，第1跖骨间角较术前改善6．9°，近端关节固定角较术前改善8．3°（P值均小于0．05）；根据顾湘杰等的评价标准，患者主观评价：优19例，良8例，可1例，优良率96．4％。[结论]Austin手术具有良好的截骨稳定性，手术方法简单，易于掌握推广，并发症少，疗效可靠，是治疗轻中度青少年拇外翻的理想术式。[ Objective ] To evaluate the effects of Austin surgery for mild and moderate juvenile hallux valgus. [ Method ] From November 2005 to Januuary 2007 , 16 juvenile hallux valgus patients （ 28 feet ） with average of 17.8 years （ range , 17 to 19 years ） were treated with Austin surgery. The X - ray films of all patients were obtained before operation , and twelve months , fifteen months after operation. The hallus valgus angle , intermetatarsal angle , proximal articular set angle , and distal articular set angle were measured and analyzed on radiographs . The surgical outcome was evaluated combined with the Gu Xiang -jie＇s score. All pamameters were statistically analyzed. [ Result] All the patients were completely followed up. Hallax valgus angle reduced from 26. 3 ± 1.19 to 11. 7 ± 0. 40 , intermetatarsal angle reduced from 14. 1 ± 0. 82 to 7.2 ± 0. 85, proximal articular set angle from 12. 7 ±0. 28 to 6.4 ±0. 54 （ all P 〈 0.05 ） . Based on Gu Xiang -jie＇ score , the subjective assessments were given as excellent in 19 feet , good in 8 feet , and fair in 1 foot. The excellent and good result was 96.4%. [ Conclusion ] Stabilization can obtained after the first metatarsus osteotomy. Austin surgery is an ideal choice for mild to moderate juvenile hallux valgus because of less complications and reliable surgery outcomes.

关 键 词：拇外翻 跖骨 截骨术 

分 类 号：R687.3[医药卫生—骨科学]