拇僵直的关节保护:评估改良的Chevron截骨术与广泛的截骨术的疗效。

IF 1.3 4区 医学 Q2 Medicine
Héctor José Masaragian, Leonel Rega, Fernando Perin, Lucas de Allende, César Miguel Fabrego, Johann Luis Veizaga Velasco
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引用次数: 0

摘要

背景:拇僵直是一种第一跖趾关节退行性疾病,多见于女性和40岁以上的个体。存在多种手术选择,但没有先前的研究报道远端短截骨联合广泛背侧颧骨切除术的结果。目的:评价拇趾远端短截骨联合大面积背侧颧骨切除术治疗拇趾僵直的临床和功能效果。研究设计:回顾性病例系列。方法:2015年至2022年间,共有50名患者(51英尺)接受了手术。1例患者双侧受累。平均年龄49.37岁;其中男性占46%,女性占54%。平均随访46.57个月(范围6 ~ 81个月)。术前和术后采用美国骨科足踝协会(AOFAS)评分、活动范围(ROM)、视觉模拟量表(VAS)和足踝能力量表(FAAM)对患者进行评估。结果:术后评分在所有指标上均有统计学上的显著改善。患者报告疼痛减轻,关节活动度改善,功能增强。大多数人表示满意,并表示愿意再次接受手术。结论:远端短缩趾截骨联合广泛背趾切除术是治疗1 - 3级拇趾僵硬的一种安全有效的手术选择。该技术在疼痛、活动和功能方面持续改善,患者满意度高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Joint preservation in hallux rigidus: evaluating the efficacy of modified chevron osteotomy with extensive cheilectomy.

Background: Hallux rigidus is a degenerative condition of the first metatarsophalangeal joint, more frequently affecting females and individuals over 40 years. Various surgical options exist, but no prior studies have reported outcomes for distal shortening chevron osteotomy combined with extensive dorsal cheilectomy.

Purpose: To evaluate the clinical and functional outcomes of patients with hallux rigidus treated with distal shortening chevron osteotomy and extensive dorsal cheilectomy.

Study design: Retrospective case series.

Methods: A total of 50 patients (51 feet) underwent surgery between 2015 and 2022. One patient had bilateral involvement. The mean age was 49.37 years; 46 % were male and 54 % female. Mean follow-up was 46.57 months (range, 6-81 months). Patients were assessed preoperatively and after surgery using the American Orthopaedic Foot & Ankle Society (AOFAS) score, range of motion (ROM), Visual Analogue Scale (VAS), and Foot and Ankle Ability Measure (FAAM).

Results: Postoperative scores demonstrated statistically significant improvements across all measures. Patients reported decreased pain, improved joint mobility, and enhanced function. The majority expressed satisfaction and indicated a willingness to undergo the procedure again.

Conclusion: Distal shortening chevron osteotomy with extensive dorsal cheilectomy is a safe and effective surgical option for Coughlin grades I-III hallux rigidus. This technique yields consistent improvements in pain, mobility, and function, with high patient satisfaction.

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来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
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