Deformity-associated treatment of the hallux valgus complex

被引：12

作者：

Wanivenhaus, A. ^{[1
]}

Bock, P. ^{[2
]}

Gruber, F. ^{[3
]}

Ivanic, G.

Klein, C.

Siorpaes, R.

Schneider, W. ^{[3
]}

Steinboeck, G.

Trieb, K.

Trnka, H. J. ^{[4
]}

机构：

[1] Med Univ Wien, Univ Klin Orthopadie, A-1090 Vienna, Austria

[2] Sozialmed Zentrum Ost, Orthopad Abt, Vienna, Austria

[3] Herz Jesu Krankenhaus, Orthopad Abt, Vienna, Austria

[4] Fusszentrum Wien, Vienna, Austria

来源：

ORTHOPADE | 2009年 / 38卷 / 11期

关键词：

Hallux valgus; Big toe malposition; Metatarsus primus varus; Tarsometatarsal joint arthrodesis; Osteotomy; OSTEOTOMY; JOINT; ANGLE;

D O I：

10.1007/s00132-009-1526-3

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：

Hallux valgus represents a combined deformity with malpositioning of the big toe in the metatarsophalangeal joint and metatarsal splaying due to metatarsus primus varus formation. It is defined on the basis of joint condition of the metatarsophalangeal and tarsometatarsal (TMT) joints, the extent and congruence or incongruence of malposition, mobility of the metatarsophalangeal joint and TMT stability. Basic resection appears to be indicated only in exceptional cases. Depending on the degree of severity, deformities can be corrected by means of distal, diaphyseal or proximal osteotomies and TMT arthrodeses. Any correction requires the use of subtle soft tissue surgery with recentering of the tendon, tightening of the medial capsule and abductor hallucis and releasing the lateral capsule. A check-list-like analysis of hallux valgus deformity helps determine the ideal procedure and avoid over- or under-treatment.

引用

页码：1117 / 1125

页数：9

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