Chevron截骨术治疗拇外翻  

Chevron osteotomy for hallux valgus

作　　者：苏正兵[1] 杨述华[1] 段德宇[1] 梁琳琳[1] 方为志[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,湖北武汉430022

出　　处：《临床骨科杂志》2014年第2期201-203,共3页Journal of Clinical Orthopaedics

摘　　要：目的：探讨对保守治疗无效的拇外翻患者行Chevron截骨术的临床疗效。方法对15例经半年以上保守治疗无效的拇外翻患者行Chevron截骨术。结果14例获随访，时间6～24个月。患足疼痛症状明显好转，拇外翻外形得以改善。按美国足与踝关节协会制定的AOFAS足拇趾-跖趾关节-趾间关节功能评分系统，由术前56．2分±5．6分提高至术后85.3分±4.5分（P＜0.05）。结论 Chevron截骨术治疗经保守治疗无效的拇外翻患者，症状改善明显，近期疗效满意。Objective To explore the clinical efficacy of the Chevron osteotomy for the treatment of patients with hal-lux valgus who had conservative treatment failure and to evaluate its effectiveness.Methods 15 patients were treated by Chevron osteotomy.They all had invalid results with more than six months of conservative treatment.Results 14 patients were followed up（ranged,6 to 24 months）.After surgery,patients′s symptoms such as pain were signifi-cantly improved,the outward appearance of foots had improved.Used AOFAS （enacted by the American Foot and Ankle Society foot toe-the metatarsophalangeal joints-interphalangeal joint function scoring system）,the mean score was significantly increased from （56.2 ±5.6 ）points preoperatively to （85.3 ±4.5 ）points postoperatively （P〈0.05 ）.Conclusions The Chevron osteotomy is effective for hallux valgus who have conservative treatment failure. After the surgery,the symptoms improves significantly,and the short-term effect is good.

关 键 词：拇外翻 Chevron截骨术 AOFAS评分系统 

分 类 号：R682.1[医药卫生—骨科学] R687.3[医药卫生—外科学]