HALLUX-VALGUS CORRECTION WITH METATARSAL OSTEOTOMY - EFFECT OF A LATERAL DISTAL SOFT-TISSUE PROCEDURE

被引：38

作者：

GRANBERRY, WM

HICKEY, CH

机构：

[1] Baylor College of Medicine, Houston, Texas, 6624 Fannin St., Suite 2600

[2] Medical College of Wisconsin, Sturgeon Bay, Wisconsin, Door County Medical Center, 345 S. 18th Ave.

来源：

FOOT & ANKLE INTERNATIONAL | 1995年 / 16卷 / 03期

关键词：

D O I：

10.1177/107110079501600305

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metatarsal. Two groups of patients were reviewed retrospectively. In the first group (17 patients and 25 feet), a proximal closing wedge osteotomy and an Akin osteotomy were performed. In the second group (22 patients and 31 feet), in addition to the osteotomies, the adductor tendon and lateral capsule were released from the sesamoid and the adductor tendon was sutured into the neck of the first metatarsal. Exostectomy and plication of the medial capsule were done in all cases. Physical examination at follow-up revealed significantly more first metatarsophalangeal stiffness in the second group. The average are of motion was 62 degrees in the first group and 46 degrees in the second. Radiographically, however, results were significantly better in the second group. The average intermetatarsal angle was 9.6 degrees for group 1 and 6.1 degrees for group 2. The average hallux valgus angle was 15 degrees for group 1 and 10 degrees in group 2. Complications included three pin tract infections and four dorsal malunions. The lateral distal soft tissue procedure ensured a more reliable correction of the bunion deformity, However, it resulted in a significant amount of postoperative first metatarsophalangeal stiffness.

引用

页码：132 / 138

页数：7

共 14 条

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