| 于葳葳,赵晶晶,郝铖,等.改良旋转Scarf截骨术在中重度踇外翻治疗中的应用.骨科,2022,13(4): 292-298. |
| 改良旋转Scarf截骨术在中重度踇外翻治疗中的应用 |
| Application of Modified Rotary Scarf Osteotomy in the Treatment of Moderate to Severe Hallux Valgus |
| 投稿时间：2022-06-21 |
| DOI：10.3969/j.issn.1674-8573.2022.04.002 |
| 中文关键词: 踇外翻 中重度 Scarf截骨术 改良术 |
| 英文关键词: Hallux valgus Moderate to severe Scarf osteotomy Modified surgery |
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| 中文摘要: |
| 目的 探讨改良旋转Scarf截骨术在中重度踇外翻手术治疗中的临床疗效。方法 回顾性分析2018年1月至2019年6月于我院手术治疗的100例中重度踇外翻病人的临床资料，平均年龄为47.6岁（17~84岁），其中男13例，女87例，双足病例38例，共138足，均应用改良旋转Scarf截骨术手术治疗。术前、术后均经X线负重正侧位检查，双盲法测量踇外翻角（HVA）、第一、二跖骨间夹角（IMA）、近端关节面固有角（DMAA）、胫侧籽骨位置。采用美国足踝外科医师协会（American Orthopaedic Foot and Ankle Society，AOFAS）足踇趾、跖趾关节、趾间关节功能评分评价疗效。结果 术后平均随访18.7个月（12~30个月）。病人术后HVA、IMA、DMAA、胫侧籽骨位置均明显低于术前，差异均有统计学意义（P＜0.05）。末次随访时AOFAS评分[（94.7±5.8）分]较术前[（45.4±5.1）分]明显提高，差异有统计学意义（P＜0.05）。病人足疼痛、外形、功能明显改观，穿鞋及生活质量得到极大提高。结论 对于中重度踇外翻，采取改良旋转Scarf截骨术具有明确的临床疗效。 |
| 英文摘要: |
| Objective To explore the clinical efficacy of modified rotary Scarf osteotomy in the surgical treatment of moderate to severe hallux valgus. Methods The clinical data of 100 patients with moderate to severe hallux valgus surgically treated in our hospital from January 2018 to June 2019 were retrospectively analyzed, with an average age of 47.6 years (17-84 years old), including 13 males, 87 females, 38 bipedal cases, total of 138 feet, all of which were treated with modified rotary Scarf osteotomy. Before and after the operation, all patients were examined with X-ray film. Double-blind measurement of HVA, IMA, DMAA, the tibial sesamoid position, and the curative effect and imaging changes were observed. At the same time, the American Orthopaedic Foot and Ankle Society (AOFAS) foot function score system was used to evaluate the therapeutic effect. Results All patients after operations were followed up for 12 to 30 months, an average of 18.7 months. The postoperative HVA, IMA, DMAA and the tibial sesamoid position were significantly lower than those preoperation, and the difference was statistically significant (P＜0.05). At the last follow up, the AOFAS score (94.7±5.8) was significantly higher than that preoperation (45.4±5.1), with a statistically significant difference (P＜0.05). Patients' foot pain, appearance, function, wearing shoes and the quality of life were greatly improved. Conclusion For moderate to severe hallux valgus, the modified rotary Scarf osteotomy has clear clinical efficacy. |
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