| 摘要: |
| ［摘要］ 目的 分析改良旋转Scarf截骨在中重度（母）外翻治疗中的临床疗效。方法 选择2017年7月至2018年7月北京市密云区中医医院骨伤科住院治疗的中重度（母）外翻畸形患者33例（51足）为研究对象，全部采用改良旋转Scarf截骨的方式治疗，比较手术前后X线片上（母）外翻角（HVA）、第一二跖骨间角（IMA）及籽骨位置情况，比较手术前后美国足踝外科学会（AOFAS）评分及视觉模拟（VAS）评分情况。结果 术后IMA、HVA均明显低于术前，差异有统计学意义（P<0.05），籽骨位置较术前改善，末次随访AOFAS、VAS评分均较术前明显改善（P<0.05）。结论 改良旋转Scarf截骨治疗中重度（母）外翻畸形矫形疗效确切。 |
| 关键词: Scarf （母）外翻 疗效 |
| DOI：10.3969/j.issn.1674-3806.2021.07.11 |
| 分类号:R 687.3+1 |
| 基金项目: |
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| Clinical application of modified rotary Scarf osteotomy in treatment of moderate and severe hallux valgus |
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XI Yin-hui, ZHANG He-li, XU Hai-lin
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Department of Orthopedics and Traumatology, Beijing Miyun District Hospital of Traditional Chinese Medicine, Beijing 101500, China
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| Abstract: |
| ［Abstract］ Objective To analyze the clinical effect of modified rotary Scarf osteotomy in treatment of moderate and severe hallux valgus. Methods Thirty-three patients(51 feet) with moderate and severe hallux valgus deformity who were hospitalized in the Department of Orthopedics and Traumatology, Beijing Miyun District Hospital of Traditional Chinese Medicine from July 2017 to July 2018 were selected as the study subjects. All the patients were treated with modified rotary Scarf osteotomy. The positions of hallux valgus angle(HVA), intermetatarsal angle(IMA) and sesamoid bone on the X-ray film were compared before and after operation, and the American Orthopedic Foot and Ankle Society(AOFAS) score and Visual Analogue Scale(VAS) score were compared before and after operation. Results After operation, IMA and HVA were significantly lower than those before operation, and the differences were statistically significant(P<0.05). Compared with that before operation, the position of sesamoid bone was improved after operation. Compared with those before operation, AOFAS score and VAS score were significantly improved at the last follow-up. Conclusion Modified rotary Scarf osteotomy is effective in treatment of moderate and severe hallux valgus deformity. |
| Key words: Scarf Hallux valgus Curative effect |
