手术治疗中青年女性拇外翻畸形

目的 矫正中青年女性拇外翻畸形。方法 经过解剖学研究,提出拇外翻形成的内在因素是一种“绞盘式”挤压机制。为消除这一机制,将拇收肌与拇趾联系彻底切断,并与经第Ｉ跖骨头横孔穿行的拇囊筋膜瓣中１／３吻合,以起到坚强固定,直接牵拉第Ｉ跖骨头的作用。结果 ２０只足接受了本术式,１８只做了０．５￣４年随访,优良率１００％,结论 拇收肌与拇囊筋膜瓣吻合,能有效地紧缩前足,达到兼顾美观及解决疼痛的目的。

Surgical therapy of hallux valgus in the young and middle-aged female]

OBJECTIVE: To correct hallux valgus in the young or middle-aged female. METHOD: Through dissecting foot specimens with hallux valgus we found that the intrinsic factor that caused hallux valgus was a "capstan" like mechanism of pressure. In order to eliminate the mechanism of the deformity, we cut off the link between the adductoris hallucis and the hallux completely. The tendon of adductoris hallucis was sutured to the fascial flap of hallucis bursa passing through a hole in the caput of the metatarsus. By this way the adductoris hallucis was fixed to the 1st metatarsus strongly, thus it pulled the 1st metatarsus directly. RESULTS: Twenty feet received this operation. 18 feet were followed up for 0.5-4 years. The rate of excellent and good results was 100%. CONCLUSION: This operation by suturing the adductoris hallucis with the fascial flap of the hallucis bursa not only can relieve pain but also restore the normal appearance of the foot.