改良 Chevron 截骨术治疗中重度足拇外翻的疗效观察  

Observation of the therapeutic effect of modified Chevron osteotomy on moderate to severe hallux valgus

作　　者：程瑞娟[1] 马红娜 张卫红[1] 贾清云 张留敏 镐英杰[1] CHENG Ruijuan;MA Hongna;ZHANG Weihong;JIA Qingyun;ZHANG Liumin;Gao Yingjie(Department of Orthopedics,The First Affiliated Hospital of Zhengzhou University,Henan Province,450000,China)

机构地区：[1]郑州大学第一附属医院骨科,河南郑州450000

出　　处：《中国医疗美容》2024年第8期75-77,共3页China Medical Cosmetology

摘　　要：目的 探讨改良Chevron截骨术治疗中重度足拇外翻的临床疗效。方法 将2022年7月至2024年1月在郑州大学第一附属医院就诊的58例中重度足拇外翻患者纳入研究,给予改良Chevron截骨术。比较患者术前、术后6个月时的拇外翻角(hallux valgus angle,HVA)、跖骨间角(intermetatarsal angle,IMA)水平和美国足踝评分系统(aofas ankle hindfoot scale,AOFAS)评分,统计患者手术并发症发生率。结果 与术前比较,58例中重度足拇外翻患者术后6个月的HVA、IMA减小,AOFAS评分上升(P<0.05);58例中重度足拇外翻中有6例出现手术相关并发症,并发症发生率为10.34%。结论 改良Chevron截骨术治疗中重度足拇外翻疗效较好,可有改善患者HVA、IMA水平,提高患者生活质量。Objective To investigate the clinical efficacy of modified Chevron osteotomy in the treatment of moderate to severe hallux valgus.Methods A total of 58 patients with moderate and severe hallux valgus treated in the First Affiliated Hospital of Zhengzhou University from July 2022 to January 2024 were included in the study.Patients were treated with modified Chevron osteotomy.The hallux valgus angle(HVA),intermetatarsal angle(IMA)and aofas ankle hindfoot scale(AOFAS)were compared before and 6 months after operation,and the incidence of surgical complications was counted.Results Compared with preoperative results,HVA and IMA decreased and AOFAS scores increased in 58 patients with moderate to severe hallux valgus 6 months after surgery(P<0.05).Among the 58 cases of moderate and severe hallux valgus,6 cases had surgery-related complications,and the incidence of complications was 10.34%.Conclusions The modified Chevron osteotomy is effective in the treatment of moderate and severe hallux valgus,which can improve the HVA and IMA levels of patients,and has positive help to improve the foot and ankle function of patients,improve the quality of life of patients.

关 键 词：足拇外翻 改良Chevron截骨术 拇外翻角 跖骨间角 

分 类 号：R687.3[医药卫生—骨科学]