骨骺阻滞、软组织减容联合楔形截骨治疗10例巨趾症趾甲过度背伸的临床效果分析  

Clinical effect of epiphyseal block combined with wedge osteotomy in the treatment of toenail hyperextension of macrodactyly

作　　者：秦勇 陈华[1] 黄政[1] 胡勇[1] 张宁[1] Qin Yong;Chen Hua;Huang Zheng;Hu Yong;Zhang Ning(Department of hand and foot surgery,the Second Hospital of Shandong University,Jinan 250033,China)

机构地区：[1]山东大学第二医院手足外科,山东济南250033

出　　处：《足踝外科电子杂志》2021年第4期47-50,共4页Electronic Journal of Foot and Ankle Surgery

基　　金：国家自然科学基金(81801504)。

摘　　要：目的探讨骨骺阻滞、软组织减容联合楔形截骨治疗伴趾甲过伸巨趾畸形的疗效。方法2010年1月至2016年12月,山东大学第二医院共收治10例伴趾甲过伸的巨趾畸形患者(10足)。所有患者均采取骨骺阻滞、软组织减容联合楔形截骨治疗伴趾甲过度背伸巨趾症,均完整保留趾甲。结果术后即刻,所有趾甲过度背伸畸形均得到了矫正。术后9例获得随访,平均随访时间(57.9±9.0)个月,末次随访见趾甲外形满意,患者满意度高。结论骨骺阻滞、软组织减容联合楔形截骨可有效治疗伴趾甲过度背伸巨趾症,该技术可保留巨趾趾甲,患者满意度高。因此,该新型治疗技术是治疗伴趾甲过伸巨趾畸形的一种可靠、安全、有效的方法。Objective To investigate the effect of epiphyseal block combined with wedge osteotomy and soft tissue volume reduction in the treatment oftoenail excessive dorsiflexion in macrodactyly.Methods From January 2010 to December 2016,ten patients with macrodactylywere in the Second Hospital of Shandong University were involved in the study.All patients were treated with epiphyseal block comebined with wedge osteotomy and soft tissue volume reduction without toenail removal.Results All toenail excessive extension deformities were corrected immediately after surgery.9 cases were followed up with an average time of(57.9±9.0)months.During the follow-up,it was found that all patients were satisfied with the appearance of toenails.Conclusion Epiphyseal block combined with wedge osteotomy and soft tissue volume reduction is an optional procedure to treat macrodactyly with the toenail excessive dorsiflexion.Importantly,this technique can preserve the toenail.Therefore,this novel technique is a reliable,safe and effective method for the treatment of macrodactyly with the toenail excessive dorsiflexion.

关 键 词：骨骺阻滞 软组织减容 楔形截骨 巨趾症 趾甲畸形 

分 类 号：R683[医药卫生—骨科学]