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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Stabilization of the Chevron procedure for hallux valgus deformity with a capsuloperiostal flap.
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Stabilization of the Chevron procedure for hallux valgus deformity with a capsuloperiostal flap.

机译：Chevron手术用于拇外翻畸形的稳定术。

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摘要

This article reports on the use of a Chevron procedure in the treatment of hallux valgus for better stabilization of the osteotomy. This procedure was performed on 31 feet of 24 patients, Twenty-two of the patients were female and two were male. The average age was 41 and average follow-up time was 14 months. The average correction of the 1-2 intermetatarsal angle was 3.8 degrees and average correction of the hallux valgus angle was 15.3 degrees. On the follow-up, 93.5% of the feet were pain free and 81% did not have any discomfort with shoewear. There were two cases of superficial infection, and two patients complained of dysesthesia or hypoesthesia after the operation. Results revealed less correction loss, shorter union time, less metatarsophalangeal stiffness, and more postoperative patient tolerance. The authors attached the distally based "V"-shaped medial capsuloperiostal flap to the metatarsal shaft and, because of obtained stability, used no internal fixation or postoperative cast but only night splint, allowed weightbearing on the heel as soon as the patient tolerated it, and encountered no displacement of fragments, malunion, or recurrence of the deformity.
机译：本文报道了雪佛龙手术在拇外翻治疗中的使用，以更好地稳定截骨术。该程序在24例患者的31英尺上进行，其中22例为女性，2例为男性。平均年龄为41岁，平均随访时间为14个月。 1-2个间角的平均矫正为3.8度，拇外翻角的平均矫正为15.3度。在随访中，有93.5％的脚没有疼痛，有81％的鞋没有不适感。浅表感染2例，手术后2例主诉感觉异常或感觉不足。结果显示，矫正损失更少，联合时间更短，meta趾僵硬程度更低，术后患者的耐受性更高。作者将远端的“ V”形内侧腓肠肌内侧皮瓣附着到the骨轴上，由于获得了稳定性，因此没有进行内固定或术后石膏固定，仅使用夜间夹板，只要患者耐受，就可以使脚跟承重，并且没有碎片移位，畸形畸形或畸形复发。

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