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首页> 外文期刊>Foot & Ankle Orthopaedics >Incidence of and Functional Significance of Floating Toe After Weil Osteotomy
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Incidence of and Functional Significance of Floating Toe After Weil Osteotomy

机译：韦尔截骨术后漂浮脚趾的发病率和功能性意义

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Background: The most frequent complication after Weil osteotomies is a floating toe deformity, but there are no reports about its effect on the patient. In this study, we analyzed the consequences of floating toe deformities after the performance of a modified Weil osteotomy (MWO) or a modified Weil osteotomy with interphalangeal fixation (MWOIF). Methods: We performed a retrospective review with a prospective follow-up of 50 patients (98% women, 120 rays) who underwent MWO (65 rays) or MWOIF (55 rays), with a mean age of 54 ± 12 years and a minimum follow-up of 4 years (mean of 6 years). We analyzed the presence of floating toe deformity in MWO and MWOIF and the outcomes measured by the subjective satisfaction, Lower Extremity Functional Scale (LEFS), American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, and quality of prehension force between patients with or without floating toe deformity. Results: The mean floating toe incidence was of 57%, with no significant difference between operative techniques (48% MWO, 67% MWOIF; P = .053). Our analysis did not show differences in satisfaction, LEFS and AOFAS scores, or grip strength between the group of patients with or without floating toes. Conclusion: The presence of a floating toe deformity was more frequent than generally believed but did not have a meaningful impact on the patient’s satisfaction or functional outcomes measured by the AOFAS and LEFS scales. There was no clear correlation between operative technique, floating toe, and quality of prehension force. Level of Evidence: Level III, retrospective comparative series.
机译：背景：Weil OsteOtomies是浮动脚趾畸形后最常见的并发症，但没有关于其对患者的影响。在这项研究中，我们分析了浮趾畸形后浮动趾畸形后的后果，在改良的韦尔骨质型（MWO）或与间骨阵骨膜固定（MWOIF）的改性的Weil截骨术后。方法：我们对50名患者（98％妇女，120射线）进行了前瞻性后续的重新调整审查，他接受了MWO（65射线）或MWOIF（55射线），平均年龄为54±12年，最低随访4年（平均6年）。我们分析了MWO和MWOIF中浮动脚趾畸形的存在，并通过主观满意度，下肢功能尺度（LEF），美国矫形脚和脚踝社会（AOFAS）踝关节分数和患者预先持续力的质量分析有或没有浮动脚趾畸形。结果：平均浮趾发病率为57％，手术技术（48％MWO，67％MWOIF; P = .053）无显着差异。我们的分析并未显示满意度，lefs和熟色评分的差异，或患有或不含浮动脚趾的患者组之间的握力强度。结论：浮动脚趾畸形的存在比普遍认为，对患者的满意度或功能结果没有有意义的影响，而不是通过Aofas和Lefs鳞片测量的有意义的影响。手术技术与预升力质量之间没有明确的相关性。证据水平：第三级，回顾性比较序列。

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