改良Mcbride术治疗轻中度拇外翻临床疗效分析  

The analysis of curative effect of the modified McBride＇s procedure on correcting mild-moderate hallux val-gus

作　　者：闫行超 刘志刚[1] 潘月海[1] 贾晓燕[1] 刘鉴锋[1] 张亚楠[1] 邵江波[1] 刘彬[1] 

机构地区：[1]吉林大学第一医院手足外科,吉林省长春130021

出　　处：《中国基层医药》2015年第8期1146-1148,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨改良Mcbride术治疗轻、中度拇外翻的临床疗效。方法选取采用改良Mcbride术治疗的拇外翻32例（52足），均获得随访，随访时间为6个月至6年，平均3．1年；男2例4足，女30例48足，手术年龄在21～59岁，平均41．6岁。结果参照美国足踝外科协会（AOFAS）前足评分系统对所有患者进行评定，优29足（55．8％），良17足（32．7％），优良率为88．5％；拇外翻角（HVA）较术前平均纠正了13．68°，第一、二跖骨间角（IMA）较术前平均纠正了3．24°。结论此术式能有效地减小增大的拇外翻角，同时也缩小第1、2跖骨间角，复位相对脱位的籽骨，有效地去除或减缓拇囊炎症状。此方法创伤小，恢复快，能较好的解除患者的疼痛，改善足部外形，对于轻、中度拇外翻患者来说可优先考虑软组织修复手术进行矫治。Objective To explore the curative effect of clinical application of modified McBride＇s procedure on correcting mild-moderate hallux valgus.Methods We had retrospectively assessed 32 patients（52 feet）treated with the procedure of modified McBride＇s procedure.All patients were followed up,the follow -up period from 6 months to 6 years（3.1 years on average）.There were 2 male（4 feet）patients and 30 female（48 feet）patients in this group.The average age at the time of surgery was 41.6 years old（from 21 to 59 years）.Results According to the forefoot score of American Orthopedics Foot and Ankle Society（AOFAS）,29 feet（55.8%）were excellent,17 feet （32.7%）were good,And the rate of excellent and good was 88.5%.The average correction of HVA and IMA was 13.68°and 3.24°respectively compared with the preoperative cases.Conclusion This procedure can not only effec-tively reduce the increased hallux valgus angle,but also narrow the angle between the 1st and 2nd metatarsal,relocate the sesamoid system,and effectively relieve patients＇pain.This approach is of minor side effects to bone and joint structure,and of rapid recovery.It is a preferential choice to treat mild-to-moderate hallux valgus deformity.

关 键 词：拇外翻 改良Mcbride术式 拇收肌 

分 类 号：R687.3[医药卫生—骨科学]