微创矫形分段截骨治疗[⻊母]外翻的临床疗效分析  

Clinical efficacy analysis of minimally invasive orthopedic segmented osteotomy for the treatment of hallux valgus

作　　者：白子兴 龚龙 郝明 石雷 孙佩宇 孙卫东 BAI Zixing;GONG Long;HAO Ming;SHI Lei;SUN Peiyu;SUN Weidong(Department of Orthopedics and Traumatology,Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital,Beijing 101300,China;Department of Orthopedics and Traumatology,Beijing Hospital of Traditional Chinese Medicine,Beijing 100010,China;DepartmentⅡof Orthopedics and Joints,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]北京中医医院顺义医院骨伤科,北京101300 [2]北京中医医院骨伤科,北京100010 [3]中国中医科学院望京医院骨关节二科,北京1001021

出　　处：《中国现代医生》2025年第4期40-43,47,共5页China Modern Doctor

基　　金：中国中医科学院望京医院中医药临床循证研究专项(WJYY-XZKT-2023-18)。

摘　　要：目的探讨微创矫形联合Akin手术分段截骨治疗[⻊母]外翻的临床疗效。方法收集2020年6月至2022年6月于中国中医科学院望京医院采用微创矫形联合Akin手术分段截骨治疗外翻患者的临床资料。比较患者手术前后的[⻊母]外翻角(hallux valgus angle,HVA)、第1、2跖骨间角(intermetatarsal angle,IMA)、跖骨远端关节面角(distal metatarsal articular angle,DMAA)、视觉模拟评分法(visual analogue scale,VAS)评分、美国足踝外科学会(American Orthopedic Foot and Ankle Society,AOFAS)量表评分及并发症。结果共纳入[⻊母]外翻患者185例(328足),所有患者均顺利完成手术,随访6个月。术后6个月,患者的HVA、IMA及DMAA均显著小于术前,VAS评分显著低于术前,AOFAS量表评分显著高于术前(P<0.05)。所有患者均未出现切口感染、截骨端延迟愈合或不愈合及转移性跖痛症等术后并发症。结论微创矫形联合Akin手术分段截骨治疗[⻊母]外翻安全有效,具有损伤小、畸形矫正好、术后并发症少等优势,值得临床应用推广。Objective To investigate the clinical effect of minimally invasive orthopedics combined with Akin surgical segmental osteotomy in the treatment of hallux valgus.Methods Clinical data of hallux valgus patients who underwent minimally invasive orthopedics combined with Akin surgical segmental osteotomy in Wangjing Hospital of China Academy of Chinese Medical Sciences from June 2020 to June 2022 were collected.Hallux valgus angle(HVA),intermetatarsal angle(IMA),distal metatarsal articular angle(DMAA),visual analogue scale(VAS)score,American Orthopedic Foot and Ankle Society(AOFAS)scale score and complications were compared before and after surgery.Results A total of 186 patients with hallux valgus(328 feet)were included in the study.All patients successfully completed the operation and the follow-up period was 6 months.Six months after surgery,HVA,IMA and DMAA were significantly lower than before surgery,VAS score was significantly lower than before surgery,and AOFAS scale score was significantly higher than before surgery(P<0.05).There were no postoperative complications such as wound infection,delayed union or nonunion of the osteotomy,and metastatic metatarsalgia.Conclusion Minimally invasive orthopedic combined with Akin surgical segmental osteotomy is safe and effective in treatment of hallux valgus,which has the advantages of less injury,good deformity correction and less postoperative complications,and is worthy of clinical application and promotion.

关 键 词：[⻊母]外翻 微创 截骨术 临床疗效 

分 类 号：R681.8[医药卫生—骨科学]