小切口去骨赘、跖骨截骨结合肌腱延长治疗小趾囊炎伴内翻35例分析  

Treatment of small toe bursitis with varus by small incision osteotomy, metatarsal osteotomy and tendon lengthening: An analysis of 35 cases

作　　者：章辉 ZHANG Hui(Department of Podiatric Surgery,Jining Bone Injury Hospital,Shandong Jining 272000,China)

机构地区：[1]山东省济宁市济宁骨伤医院足外科

出　　处：《足踝外科电子杂志》2019年第1期19-21,共3页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的评价小切口去骨赘、跖骨截骨结合肌腱延长治疗小趾囊炎伴内翻的疗效。方法对35例47趾小趾囊炎伴小趾内翻患者采用小切口磨钻去除小趾跖骨头增生骨赘,松解挛缩跖趾关节关节囊,第5跖骨中远端微型摆锯斜行或磨钻锯齿形截骨,结合趾长伸肌腱延长,手法矫正,纱布"8"字绷带包扎,分趾器外固定,穿专用前足悬空鞋预防跖骨头上抬。患者全部得到随访,随访时间1~5年。结果35例47趾患者患趾症状消失,小趾内翻矫正满意,优良率达91.49%。结论小切口去骨赘、跖骨截骨结合肌腱延长术治疗小趾囊炎伴小趾内翻疗效可靠。Objective To discuss the effect of small incision osteotomy,metatarsal osteotomy and tendon lengthening in the treatment of small toe bursitis with varus.Methods 35 patients with small toe bursitis accompanied by small toe varus were treated with small incision grinding drill to remove hypertrophic osteophyte of metatarsophalangeal head of small toe,release contracture metatarsophalangeal joint capsule,oblique or serrated osteotomy of middle and distal part of fifth metatarsal bone with micro swing saw,lengthening extensor tendon of toe,manual correction,bandage of gauze "8" bandage,external fixation of toe splitter,wearing special suspension shoes of forefoot to prevent metatarsal head from lifting.All patients were followed up for 1 to 5 years.Results The symptoms of toes disappeared in 35 patients with 47 toes.The correction of small toe varus was satisfactory.The excellent and good rate was 91.49%.Conclusion Small incision osteophyte removal,metatarsal osteotomy combined with tendon lengthening is effective in the treatment of small toe bursitis with varus digitorum.

关 键 词：小趾内翻 趾囊炎 小切口 

分 类 号：R658.1[医药卫生—外科学]