| Keller手术治疗拇外翻疗效分析 |
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| 引用本文： | 文良元,黄公怡,申剑,孙常太,雷飞跃.Keller手术治疗拇外翻疗效分析[J].中国骨伤,2003,16(11):644-646. |
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| 作者姓名： | 文良元 黄公怡 申剑 孙常太 雷飞跃 |
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| 作者单位： | 文良元（卫生部北京医院骨科,北京,100730）
黄公怡（卫生部北京医院骨科,北京,100730）
申剑（卫生部北京医院骨科,北京,100730）
孙常太（卫生部北京医院骨科,北京,100730）
雷飞跃（卫生部北京医院骨科,北京,100730） |
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| 摘 要： | 目的观察Keller手术治疗
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| 关 键 词： | 趾 畸形 矫形外科学 |
| 收稿时间： | 2002/10/22 0:00:00 |
| 修稿时间： | 2002年10月22 |
Analysis of the effect of Keller's operation on hallux valgus |
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| WEN Liangyuan,HUANG Gongyi,SHEN Jian.Analysis of the effect of Keller''s operation on hallux valgus[J].China Journal of Orthopaedics and Traumatology,2003,16(11):644-646. |
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| Authors: | WEN Liangyuan HUANG Gongyi SHEN Jian |
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| Institution: | Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China;Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China;Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China;Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China;Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China |
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| Abstract: | Objective:To observe clinical effect of Keller's operation on hallux valgun Methods:From 1978 to 1995,70 cases(118 feet) of hallux valgus were followed up with an average of 9 years after Keller's operation. The symptoms improvement in the big toe and the forefoot,the deformity correction,the function of toes and the various complication after operation were analyzed. At the same time, the change of weight-bearing point via the foot print after operation were analyzed. Results:98 feet got satisfied Results after the Keller' s operation from the symptoms improvement and the correction of the hallux valgus and over-lapped toes. According to standard of Wenjianmin, the efficacious rate of operation was 83%. The complications were the numbness, valgus recurrence, hallux varus, flexion weakness of big toe, the flexion contracture of the second toe. Conclusion:The Keller's operation can reach the goal of the complete correction of the first phalanx-mete-tarsal joint through the osteotomy of the first proximal phalanx. The Keller's operation is a good choice for those patients with old age,severe hallax valgus and combined osteoarthritis. The osteotomy of the first phalanx is key for successful operation. |
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| Keywords: | Toes Abnormalities Orthopedics |
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