跖趾关节内侧副韧带重建术治疗拇外翻  

Metatarsophalangeal joint medial collateral ligament reconstruction in the treatment of hallux valgus

作　　者：赵鸿声[1] 靖光武[1] 张建军 黄吉利[1] 

机构地区：[1]江汉大学附属医院骨科,武汉430015 [2]新疆博尔塔拉蒙古自治州人民医院骨科

出　　处：《临床外科杂志》2012年第8期566-567,共2页Journal of Clinical Surgery

摘　　要：目的探讨跖趾关节内侧副韧带重建加跖趾关节成形术治疗拇外翻疗效。方法采用改良跖趾关节成形术治疗拇外翻23例（38足），并对拇趾畸形的矫正程度、疼痛症状的改善及行走功能的恢复等进行充分评估。结果本组患者届拇外翻角（HAV）及第一、二跖骨间夹角（IMA）术前、后比较，差异有统计学意义（P〈0．05）。术后随访（13．6±2．3）个月，疗效优28足，良8足，可1足，差1足，总优良率达94．7％。结论跖趾关节内侧副韧带重建加跖趾关节成形术能够治疗多种中、重度足拇外翻及合并趾跖关节炎患者，能有效改善足部外形及症状，恢复行走功能，并发症少。Objective To investigate clinical effect of medial collateral ligament reconstruction and arthroplasty of metatarsophalangeal joint for the treatment of hallux valgus. Methods From 2006 to 2011,38 feet of 23 patients were treated with the modified operation. All patients were followed up and the degree of deformity correction, the improvement of pain and the recovery of walking function were fully e- valuated. Results After the surgery, there were significant differences in hallux valgus angle （HVA） and intermetatarsal angle （IMA） （ P 〈 0.05 ）. All the cases were followed up for （ 13.6 ± 2.3 ） months and an excellent outcome was found in 28 feet,good in 8 ,fair in 1 and poor in 1 ,the excellent and good rate was 94.7%. Conclusion The modified metatarsophalangeal joint arthroplasty is an effective method for pa- tients with hallux valgus and extensor digitorum communis arthritis. It can markedly improve the appear- ance, release the symptoms, restore the function and reduce the complications.

关 键 词：拇外翻 副韧带重建 跖趾关节成形术 

分 类 号：R735.1[医药卫生—肿瘤]