微创手术治疗拇外翻的疗效观察

目的 探讨微创手术治疗拇外翻的临床效果及优缺点.方法 对我院近3年收治的845例(1467足)拇外翻患者采用微创手术治疗,回顾性分析治疗的效果.结果 1467足均在术后8周一期愈合,内侧皮神经损伤19足.拇趾僵硬12足,第一跖趾关节痛、畸形矫正不良8足(均为重度拇外翻患者),转移性跖骨痛6足,足中部不适6足,均对症治疗效果满意.结论 拇外翻微创治疗适合于轻中度拇外翻患者,术后可在短期内愈合,并发症少.

Effect of Minimally Invasive Therapy for Hallux Valgus

Objective To discussion clinical results of minimally invasive surgery for hallux valgus and its advantages and disadvantages.Methods The therapeutic effects were retrospectively analyzed for 845 cases (1467 feet) treated by minimally invasive surgery during the past three years in our hospital.Results All 1467 feet got primary healing in 8 weeks postoperatively.There were medial cutaneous nerve injury in 19 feet,rigid thumb in 12 feet,pain of the first metatarsophalangeal joint and poor correction of malformation in 8 feet (all were cases with serious hallux valgus),metastatic metatarsal pain in 6 feet,and central foot discomfort in 6 feet.All of the cases responded well to the symptomatic treatment.Conclusion The minimally invasive surgery is suitable for mild to moderate hallux valgus,with a healing in a shorter period of time and less complications.