HALLUX-VALGUS CORRECTION WITH PROXIMAL METATARSAL OSTEOTOMY - 2-YEAR FOLLOW-UP

被引：77

作者：

THORDARSON, DB

LEVENTEN, EO

机构：

[1] Division of Orthopaedics, Kaiser-Permanente Hospital, Panorama City, California, 13652 Cantara St.

来源：

FOOT & ANKLE | 1992年 / 13卷 / 06期

关键词：

D O I：

10.1177/107110079201300605

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：

We evaluated the results of 33 feet in 23 patients who underwent a basilar crescentic osteotomy with a modified McBride procedure with a minimum 24-month follow-up. The average hallux valgus improved from 37.5-degrees to 13.8-degrees and the intermetatarsal 1-2 angle from 14.9-degrees to 4.7-degrees. The angle of declination of the first metatarsal was found to have dorsiflexed an average of 6.2-degrees. Unfortunately, osteotomies secured with staples dorsiflexed to a greater degree. Bilateral foot surgery produced results similar to those with unilateral procedures. Four of our patients developed a hallux varus (range 2-8-degrees); however, none were dissatisfied at the time of evaluation. Although this bunion procedure resulted in more prolonged swelling and pain than a distal osteotomy, it should be considered for more complex deformities to avoid the failure that a distal metatarsal osteotomy might produce given a high 1-2 intermetatarsal angle or a high hallux valgus angle.

引用

页码：321 / 326

页数：6

共 17 条

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