手术治疗中青年女性(足母)外翻畸形  

Surgical therapy of hallux valgus in the young and middle-aged female

作　　者：赵尔弘[1] 张善东[1] 戴军[1] 林鸿培[1] 

机构地区：[1]北京同仁医院骨科,100730

出　　处：《中华整形烧伤外科杂志》1998年第6期442-444,共3页

摘　　要：目的矫正中青年女性(足母)外翻畸形。方法经过解剖学研究,提出跨外翻形成的内在因素是一种“绞盘式”挤压机制。为消除这一机制,将(足母)收肌与跨趾的联系彻底切断,并与经第1跖骨头横孔穿行的跨囊筋膜瓣中1/3吻合,以起到坚强固定,直接牵拉第Ⅰ跖骨头的作用。结果 20只足接受了本术式,18只做了0.5～4年随诊,优良率100％。结论 (足母)收肌与(足母)囊筋膜瓣吻合,能有效地紧缩前足,达到兼顾美观及解除疼痛的目的。Objective To correct hallux valgus in the young or middle-aged female. Method Through dissecting foot specimens with hallux valgus we found that the intrinsic factor that caused hal- lux valgus was a "capstan" like mechanism of pressure. In order to eliminate the mechanism of the de- formity, we cut off the link between the adductoris hallucis and the hallux completely. The tendon of adductoris hallucis was sutured to the fascial flap of hallucis bursa passing through a hole in the caput of the metatarsus. By this way the adductoris hallucis was fixed to the lst metatarsus strongly, thus it pulled the lst metatarsus directly. Results Twenty feet received this operation. 18 feet were followed up for 0. 5-4 years. The rate of excellent and good results was 100%. Conclusion This operation by suturing the adductoris hallucis with the fascial flap of the hallucis bursa not only can relieve pain but also restore the normal appearance of the foot.

关 键 词：拇外翻 拇收肌 拇趾 青年 女性 外科手术 

分 类 号：R682.605[医药卫生—骨科学]