THE MODIFIED MITCHELL OSTEOTOMY-BUNIONECTOMY - INDICATIONS AND TECHNICAL CONSIDERATIONS

被引:34
作者
BLUM, JL
机构
[1] Southwestern Medical School, Baylor University Medical Center, Foot and Ankle Teaching Service, Department of Orthopedics, Parkland Memorial Hospital
关键词
D O I
10.1177/107110079401500304
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
A total of 204 modified Mitchell osteotomy-bunionectomy procedures with Steinmann pin fixation were evaluated by radiograph, history, and physical examination with long-term personal follow-up. The specific surgical technique modifications used in this series are discussed. This modified procedure produced 91% good or excellent results in this series. The complications or unsatisfactory results were due to partial avascular necrosis, lateral metatarsalgia, incomplete correction of hallux valgus, or late stress fractures. These unsatisfactory results led to the development of specific preoperative surgical criteria for the procedure in addition to the technical modifications.
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页码:103 / 106
页数:4
相关论文
共 8 条
[1]  
Carr C., Boyd B., Correctional osteotomy for metatarsus primus varus and hallux valgus, J. Bone Joint Surg., 50A, pp. 1353-1367, (1968)
[2]  
Hammond G., Mitchell osteotomy-bunionectomy for metatarsus primus varus and hallux valgus, AAOS Instr. Course Lect., 21, (1972)
[3]  
Hawkins F.B., Mitchell C.L., Hedrick D.W., Correction of hallux valgus by metatarsal osteotomy, J. Bone Joint Surg., 27, (1945)
[4]  
Meier P.J., Kenzora J.E., The risks and benefits of distal first metatarsal osteotomies, Foot Ankle, 6, (1985)
[5]  
Mitchell C.L., Fleming J.L., Allen R., Glenny C., Sanford G.A., Osteotomy-bunionectomy for hallux valgus, J. Bone Joint Surg., 40A, pp. 41-60, (1958)
[6]  
Shapiro F., Heller L., The Mitchell distal metatarsal osteotomy in the treatment of hallux valgus, Clin. Orthop., 107, pp. 225-231, (1975)
[7]  
Smith B.W., Reynold J.C., Stewart M.J., Hallux valgus assessment: report of research committee of American Orthopedic Foot and Ankle Society, Foot Ankle, 5, (1984)
[8]  
Szaboky G.T., Raghaven V.C., Modification of Mitchell's lateral displacement angulation osteotomy, J. Bone Joint Surg., 51A, (1969)