[文章翻译]与远端chevron骨切开术后拇外翻复发相关的术前放射参数

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-06-09 DOI:10.1016/j.recot.2025.06.004

Y. Hernanz-González , J.C. Martínez-Ávila , E. Sánchez-Morata , A. Gómez-Sánchez , J.D. Serrano-Alonso , J. Vilá-Rico

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引用次数: 0

摘要

背景和研究目的大多数足外科医生认识到很难确定每个患者的拇外翻（HV）畸形，并选择最合适的手术治疗以达到最佳的长期效果。本研究的目的是分析远端跖骨截骨术后的放射学结果，并确定与放射学复发相关的特定术前放射学参数。材料和方法本研究纳入了2014 - 2019年在我院行远端跖骨截骨术的120例（134英尺）有症状的中重度HV畸形患者。每位患者术前、术后和最终随访时均通过侧位和足底背片进行评估。我们检查了14个射线测量值。回顾性收集资料。结果平均随访时间23.65个月（范围6 ~ 69.4个月）。复发率为76.1%。放射学上的HV复发定义为最终拇外翻角（HVA）等于或大于20度。结论手术年龄较大和术前跖趾关节不一致是HV复发的预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Artículo traducido] Parámetros radiológicos preoperatorios correlacionados con la recidiva del hallux valgus después de una osteotomía en chevron distal

Background and study aims

Most foot surgeons recognize the difficulties to define each patient's hallux valgus (HV) deformity and to select the most appropriate surgical treatment to achieve the best long term outcome. The goal of this study was to analyze radiologic outcomes after distal chevron metatarsal osteotomy and to identify specific preoperative radiological parameters correlating with radiological recurrence.

Materials and methods

One hundred twenty patients (134 feet) in patients with symptomatic moderate or severe HV deformity who underwent distal chevron metatarsal osteotomy at our hospital between 2014 and 2019 were included in the present study. Each patient was evaluated preoperatively, postoperatively and at final follow-up by means of radiographs lateral and dorsoplantar views. We examined fourteen radiographic measurements. Data were collected retrospectively.

Results

The mean follow-up time was 23.65 months (range 6-69.4 months). The recurrence rate was 76.1%. Radiologic HV recurrence was defined by a final hallux valgus angle (HVA) equal or greater than 20 degrees.

Conclusions

Greater age at time of surgical treatment and preoperative noncongruent I metatarsophalangeal joint were identified as predictors for HV recurrence.

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

期刊介绍： Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.