不采用内固定的Scarf截骨治疗中重度拇外翻的疗效分析  

Effect of screwless scarf osteotomy on moderate to severe hallux valgus

作　　者：戴国光[1] 赵英波[1] 李海清[1] 高正玉[2] 张建中[3] 孙超[3] 

机构地区：[1]山东聊城市人民医院足踝外科,252000 [2]青岛大学附属医院康复医学科 [3]首都医科大学附属北京同仁医院足踝外科矫形中心

出　　处：《中华整形外科杂志》2018年第1期46-49,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探讨不采用内固定的Scarf截骨治疗中、重度拇外翻的临床疗效。方法2016年1月至2017年5月，采用无钉（不采用内固定）Scarf截骨术治疗中、重度拇外翻患者13例（15足），比较手术前后拇外翻角及第1、2跖骨间夹角纠正程度。采用AOFAS评分评估患者临床改善情况。结果所有患者均获得随访，随访时间2～12个月，平均6个月。FDA2外翻角由术前38.8°减小至13.1°，平均减小25.7°。第1、2跖骨间夹角由术前18.3°减小至8.7°，平均减小9.6°。AOFAS评分由术前45.7分增加至85.4分，平均增加39.7分。优良率86.7%。结论严格遵循手术适应证并掌握手术技巧，不采用内固定的Scarf截骨治疗中、重度拇外翻，可以取得较好的临床效果。ObjectiveTo evaluate theresult of Screwless Scarf osteotomy for the treatment of moderate to severe hallux valgus.MethodsFrom January 2016 to May 2017, 13 patients with 15 feet underwent Screwless （without internal fixation） Scarf osteotomy for the treatment of moderate to severe hallux valgus.The hallux valgus angle （HVA） and intermetatarsal angle（IMA） were compared before and after surgery.Clinical outcomes were assessed by American Orthopedic Foot and Ankle Society （AOFAS） scoring.ResultsThe mean follow-up was 6 months in all the patients（range, 2-12 months）. HVA was decreased by 25.7°（form 38.8°preoperative to 13.1°postoperative）. IMA was decreased by 9.6°（form 18.3°preoperative to 8.7°postoperative）. AOFAS sore was increase by 39.7 points （45.7 points preoperative to 85.4 points）. The incidence of excellence was 86.7%.ConclusionsSatisfactory clinical outcomes can be achieved by screwless Scarf osteotomy for moderate or severe hallux valgus.However, strict indications and sufficient surgical skills are crucial.

关 键 词：拇外翻 截骨术 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]