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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 >First metatarsocuneiform arthrodesis and Reverdin-Laird osteotomy for treatment of hallux valgus: An intermediate-term retrospective outcomes study.
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First metatarsocuneiform arthrodesis and Reverdin-Laird osteotomy for treatment of hallux valgus: An intermediate-term retrospective outcomes study.

机译：首次meta骨形关节固定术和Reverdin-Laird截骨术治疗拇外翻：中期回顾性结局研究。

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The authors present a retrospective study of 14 patients (20 feet) treated with first metatarsocuneiform arthrodesis and Reverdin-Laird osteotomy and distal soft tissue alignment for hallux valgus associated with hypermobility of the first ray and an increased proximal articular set angle. The purpose of this study was 3-fold: (1) to determine clinical outcome of this procedure combination, (2) to evaluate the effect of this procedure on the radiographic parameters of hallux valgus, and (3) to determine the degree of first ray shortening. At a mean 50.1 months postoperatively, patients were evaluated according to the American Orthopedic Foot and Ankle Society's Hallux-First Metatarsophalangeal-Interphalangeal Clinical Rating Scale. Preoperative and follow-up radiographs were compared for changes in the following measurements: 1-2 intermetatarsal angle (IMA), hallux abduction angle (HAA), proximal articular-set angle (PASA), and metatarsal protrusion distance (MPD). Statistical analysis using the Student t test showed a significant increase in total scores from a mean 43.6 to 92.6 of 100. A significant decrease was found in the IMA from a mean 16.9 degrees to 7.1 degrees, in the HAA from a mean 37.1 degrees to 5.2 degrees, in the PASA from a mean 20.3 degrees to 3.4 degrees (P <.001), and a significant change in the was found in the MPD of 7.7 mm (P <.001). Given the high rating scale scores, first ray shortening did not appear to hamper our patients' clinical outcome. (The Journal of foot & Ankle Surgery 42(2):77-85, 2003)
机译：作者对14例（20英尺）患者进行了回顾性研究，这些患者接受了第一tar骨形关节固定术和Reverdin-Laird截骨术以及远端软组织定位治疗拇外翻，这与第一射线的过度活动和近端关节固定角度的增加有关。这项研究的目的是三方面的：（1）确定该方法组合的临床结果，（2）评估该方法对拇外翻放射学参数的影响，以及（3）确定首次手术的程度射线缩短。术后平均50.1个月，根据美国骨科足踝协会的Hallux-First Metatarsophalangeal-Interphalangeal临床评估量表对患者进行评估。比较术前和术后X线照片在以下测量中的变化：1-2个ata间角（IMA），拇外展角（HAA），近端关节固定角（PASA）和meta骨突出距离（MPD）。使用Student t检验进行的统计分析表明，总分从平均43.6分提高到100分的92.6分。IMA从平均16.9度到7.1度显着降低，在HAA中从平均37.1度到5.2分显着下降。在PASA中，平均角度从20.3度降至3.4度（P <.001），而MPD的变化为7.7毫米（P <.001）。鉴于评分等级评分很高，第一射线缩短似乎并未妨碍我们患者的临床结局。 （《足踝外科杂志》 42（2）：77-85，2003）

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