Ludloff截骨联合McBride手术治疗疼痛性姆外翻畸形的疗效分析  

作　　者：张翊[1] 张玉良[1] 吴宏飞[1] 王斌[1] 董宇启[2] 张超[2] 

机构地区：[1]武警浙江省总队嘉兴医院骨一科,314000 [2]上海交通大学医学院附属仁济医院,200127

出　　处：《浙江临床医学》2015年第1期32-34,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨Ludloff截骨联合McBride软组织松解治疗疼痛性坶外翻畸形的疗效。方法回顾该术式治疗15例（25趾）疼痛性坶外翻患者，随访时限为2年。手术前后均摄双足正侧位X线片，测量踌外翻角及第1、2跖骨间夹角。并采用足部疾患治疗效果AOFAS评分，进行患足功能评分以评价其临床疗效。结果术后截骨部骨愈合满意，无延迟愈合及不愈合情况，皮肤感染1例1足。术后与术前相比，患者的坶外翻角及第1、2跖骨间夹角平均矫正16．3°和4．0°，AOFAS评分提升37分。结论Ludlofr截骨联合McBride手术可显著地矫正坶外翻畸形，明显减少前足疼痛，足的功能恢复良好，是治疗疼痛性蹲外翻畸形的较佳选择。Objective To assess the success of painful hallux valgus surgery of Ludloff osteotomy combined with McRride operation. Method The outcome of 15 patients （ 25 feet ） treated by this technique for symptomatic hallux valgus deformity was reviewed.The follow-up was two years.Lateral and AP radiographs were taken in a standing position pre-and postoperativly, and hallux valgus angle （ HV angle ） and intermetatarsal angle （ IM 1-2angle ） were measured accordingly.The eficacy of the surgery was evaluated by AOFAS scoring for foot disorders. Result The fracture healing was excellent.There was no case of delay union and nonunion.One case （ one foot ） was found to have superficial infection.The mean HV angle and IM 1-2 angle was revised by 16.3° and 4.0° respectively.AOFAS score was elevated for 37 points. Conclusion Our intermediateterm Results demonstrate that the Ludloff osteotomy combined with McRride operation achieves significant correction of hallux valgus deformity, significant reduction in forefoot pain, and signifcant improvement in functional outcome. The procedure is valuable in correction the painful hallux valgus deformity.

关 键 词：坶外翻 第1跖骨 Ludloff截骨 McBride手术 

分 类 号：R682.16[医药卫生—骨科学]