摘要
目的总结观察联合伸肌腱延长术中西医结合微创治疗中重度外翻伴伸肌腱相对短缩的疗效。方法对74例138足中重度外翻伴伸肌腱相对短缩患者采用小切口切断收肌,松解外侧关节囊,医用微型磨钻磨除跖骨头骨赘,微型摆锯斜形、锯齿形或"V"形截骨,伸肌腱滑行延长;并以中医手法矫正外翻角和跖骨间夹角,下移跖骨头,绷带"8"字包扎固定。结果共矫正74例138足,经1~5年随访,外翻外形矫正及活动度满意,单足优良率达到94.93%。结论联合伸肌腱延长术中西医结合微创治疗中重度外翻伴伸肌腱相对短缩畸形,矫正前足异常效果理想,可有效缓解软组织紧张,降低复发。
Objective To observe the curative effect of Extensor Pollicis Tendon lengthening combined with minimally invasive surgery on moderate and severe Valgus pollicis with relative shortening of extensor pollicis tendon.Methods 74 cases (138 feet) with moderate or severe hallux valgus and relative shortening of extensor pollicis tendon were treated with small incision to cut adductor pollicis muscle,release lateral joint capsule,medical micro drill to remove osteophyte of metatarsal head,micro swing saw oblique,zigzag or "V" shaped osteotomy,and the extensor pollicis tendon glided and lengthened.The angle between hallux valgus angle and metatarsal bone was corrected by traditional Chinese medicine.The metatarsal head was moved down and bandaged with "8" shape.Results A total of 74 cases (138 feet) were corrected and followed up for 1 to 5 years,satisfactory correction and mobility of hallux valgus were achieved,and the excellent rate of single foot reached 94.93%.Conclusion Combined with extensor pollicis tendon lengthening,minimally invasive treatment of moderate and severe hallux valgus with relative shortening of extensor pollicis tendon,,the effect of correction of abnormal forefoot was ideal,which could effectively relieve the tension of soft tissue and reduce the recurrence.
作者
章辉
张亚力
闫超
文守鹏
徐庆伟
尚衍成
Zhang Hui;Zhang Yali;Yan Chao;Wen Shoupeng;Xu Qingwei;Shang Yancheng(Department of Podiatric Surgery,Jining Bone Injury Hospital,Jining 272000,China)
出处
《足踝外科电子杂志》
2020年第2期31-34,共4页
Electronic Journal of Foot and Ankle Surgery
关键词
外翻
矫正
肌腱延长
hallux valgus
minimally invasive
tendon lengthening
