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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 >Rate of Revision After Cheilectomy Versus Decompression Osteotomy in Early-Stage Hallux Rigidus
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Rate of Revision After Cheilectomy Versus Decompression Osteotomy in Early-Stage Hallux Rigidus

机译：乳霜切除术后的修订率与减压骨质术在早期的Hallux rigidus中

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摘要

Two commonly used procedures for early stage hallux rigidus are cheilectomy and decompression metatarsal osteotomy. However, although both procedures were first described several decades ago, a deficit exists in the published data comparing their effectiveness. We performed a retrospective comparative study to examine the results of surgical treatment of early-stage hallux rigidus. A total of 423 subjects were included. Hallux limitus or rigidus had been diagnosed in all patients, who had undergone either cheilectomy or any variation of plantar flexion decompression metatarsal head osteotomy. Of the 423 procedures identified during the study period, 341 (80.6%) were cheilectomy and 82 (19.4%) were decompression osteotomy procedures. The rate of revision procedures was significantly greater in the cheilectomy group (8.21%) than in the osteotomy group (1.22%). Sex, laterality, and body mass index played no role in the rate of revision. The absence of research studies comparing the effectiveness of the 2 procedures has led many practitioners to favor cheilectomy for early-stage hallux rigidus. Decompression metatarsal osteotomies are technically more difficult, involve more risks, and require greater restrictions on postoperative weightbearing compared with cheilectomy. However, our data have shown that within the first 5 postoperative years, decompression osteotomy resulted in a dramatically lower rate of revisional surgery for first metatarsophalangeal joint pathology compared with cheilectomy. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：早期阶段的常用程序顽固的刚性和减压跖骨截骨术。但是，虽然这两个程序都是几十年前首次描述的，但在公布的数据中存在缺陷，比较其有效性。我们进行了回顾性的比较研究，以检查早期Hallux刚性的手术治疗结果。共有423个受试者。 Hallux Imotus或Rigidus已被诊断出在所有患者中，他们经历了乳房切除术或跖屈屈曲减压跖骨头截骨术的任何变化。在研究期间鉴定的423种程序中，341（80.6％）是乳霜切除术，82（19.4％）是减压骨质切除术手术。在薄膜切除术基团（8.21％）中，修正程序的速率明显大于截骨组（1.22％）。性别，横向和体重指数在修订率下没有作用。缺乏研究研究比较了2个程序的有效性导致许多从业者对早期的Hallux rigidus倾向于乳霜切除术。减压跖骨截骨术在技术上更困难，涉及更多的风险，并且与乳酸切除术相比，对术后重之索需要更大的限制。然而，我们的数据表明，与乳白切除术相比，在术后5年后，在术后5年内，减压截骨术对第一次跖趾关节病理学的急性急性手术率显着降低。 （c）2017由美国脚和踝外科医院。版权所有。

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