| 旋转Scarf截骨术治疗拇外翻合并第1跖骨旋转 |
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Received:October 14, 2022
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| 作者 | Author | 单位 | Unit | E-Mail |
| 郑伟鑫 |
ZHENG Wei-xin |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
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| 杨杰 |
YANG Jie |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
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| 李毅 |
LI Yi |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
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| 梁晓军 |
LIANG Xiao-jun |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
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| 王军虎 |
WANG Jun-hu |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
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| 杜洋 |
DU Yang |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
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| 王欣文 |
and WANG Xin-wen |
西安市红会医院足踝外科, 陕西 西安 710054 |
Department of Foot and Ankle Surgery, Xi'an Honghui Hospital, Xi'an 710054, Shaanxi, China |
zhmfootankle@163.com |
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| 期刊信息：《中国骨伤》2022年35卷，第12期，第1138-1141页 |
| DOI：10.12200/j.issn.1003-0034.2022.12.006 |
| 基金项目:陕西省重点基金项目（编号：2020SF-097） |
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目的：探讨旋转Scarf截骨术治疗拇外翻（hallux valgus，HV）合并第1跖骨旋转的临床疗效。
方法：自2018年1月至2019年10月采用旋转Scarf截骨术治疗35例（40足） HV合并第1跖骨旋转畸形患者，其中男5例，女30例；年龄25~76（40.32±5.43）岁。观察并比较手术前后拇外翻角（hallux valgus angle，HVA），第1、2跖骨间角（intermetatarsal angle，IMA），第1跖骨远端关节面角（distal metatarsal articular angle，DMAA），第1跖骨长度（the first metatarsal length，FML），术后采用美国矫形骨科学会足踝外科学组（American Orthopedic Foot and Ankle Society，AOFAS）拇趾-跖趾-趾间关节评分和疼痛视觉模拟评分（visual analogue scale，VAS）系统进行功能评价。
结果：35例（40足）均获得随访，时间12~36（14.35±3.62）个月。HVA、IMA和DMAA分别由术前的（36.32±4.51）°、（14.21±3.22）°和（28.35±4.32）°矫正到术后的（14.32±5.71）°、（5.83±3.97）°和（7.32±2.14）°（P<0.05）。手术前后FML比较，差异无统计学意义（P>0.05）。AOFAS评分和VAS分别由术前的（57.00±4.31）分、（6.00±1.21）分改善至末次随访时的（90.31±3.28）分、（1.42±0.83）分（P<0.05）；根据AOFAS评分，结果优23足，良15足，可2足。
结论：旋转Scarf截骨术矫正力度大、维度高，能够有效纠正HV合并第1跖骨旋转畸形，改善前足功能，获得良好疗效。 |
| [关键词]:拇外翻 跖骨 足畸形 截骨术 |
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| Rotating Scarf osteotomy in treating hallux valgus combined with the first metatarsal rotation |
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Abstract:
Objective: To explore clinical effect of rotational Scarf osteotomy in treating hallux valgus (HV) with rotation of the first metatarsal bone.
Methods: From January 2018 to October 2019, 35 patients (40 feet) with HV and rotation deformity of the first metatarsal were treated with rotational Scarf osteotomy, including 5 males and 30 females;aged from 25 to 76 years old with an average of (40.32±5.43) years old. Hallux valgus angle(HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), the first metatarsal length (FML) were observed and compared, American Orthopedic Foot and Ankle Society(AOFAS) of hallux metatarsophalangeal interphalangeal joint score and visual analogue scale (VAS) were used to evaluate functional evaluation.
Results: Thirty-five patients(40 feet) were followed up from 12 to 36 months with an average of (14.35±3.62) months. HVA, IMA and DMAA were corrected from (36.32±4.51) °, (14.21±3.22) ° and (28.35±4.32) ° before operation to (14.32±5.71) °, (5.83±3.97) ° and (7.32±2.14) ° after operation respectively (P<0.05). There was no satistical difference in FML before and after operation (P>0.05). AOFAS score and VAS improved from (57.00±4.31) and (6.00±1.21) before operation to (90.31±3.28) and (1.42±0.83) after operation, respectively, and had significant difference(P<0.05);according to AOFAS score, 23 feet got excellent results, 15 feet good and 2 feet fair.
Conclusion: Rotational Scarf osteotomy with strong correction and high dimension could effectively correct HV combined with rotation deformity of the first metatarsal bone, improve function of the forefoot, and obtain good clinical results. |
| KEYWORDS:Hallux valgus Metatarsal bones Foot deformities Osteotomy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郑伟鑫,杨杰,李毅,梁晓军,王军虎,杜洋,王欣文.旋转Scarf截骨术治疗拇外翻合并第1跖骨旋转[J].中国骨伤,2022,35(12):1138~1141 |
| 英文格式: | ZHENG Wei-xin,YANG Jie,LI Yi,LIANG Xiao-jun,WANG Jun-hu,DU Yang,and WANG Xin-wen.Rotating Scarf osteotomy in treating hallux valgus combined with the first metatarsal rotation[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(12):1138~1141 |
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