Scarf versus proximal closing wedge osteotomy in hallux valgus treatment

被引：7
|
作者：
Paczesny, Lukasz [1 ]
Kruczynski, Jacek [2 ]
Adamski, Ryszard [1 ]
机构：
[1] Prov Childrens Hosp, Dept Orthopaed Adults & Children, PL-87100 Torun, Poland
[2] Nicholas Copernicus Univ Torun, Coll Med, Dept Orthopaed & Traumatol, PL-85094 Bydgoszcz, Poland
来源：
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2009年 / 129卷 / 10期
关键词：
Hallux valgus; Scarf; Wedge osteotomy; Metatarsal osteotomy; METATARSAL ARTICULAR ANGLE; FOLLOW-UP; 1ST RAY; DEFORMITY; ADULT;
D O I：
10.1007/s00402-008-0741-4
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The aim of this study was to evaluate the distal metatarsal articular angle as a key factor in choosing between the proximal closing wedge osteotomy and scarf osteotomy. The investigation involved 40 feet: 32 females aged 13-68 in whom 24 unilateral and 8 bilateral operations had been performed from 24 to 63 months previously. There were statistically significant differences between groups in the postoperative hallux valgus angle and in first metatarsal shortening. We found an inverse correlation between the preoperative distal metatarsal articular angle and intermetatarsal angle improvement after proximal closing wedge osteotomy and a positive correlation after scarf osteotomy. This study confirmed the value of distal metatarsal articular angle assessment.
引用
收藏
页码：1347 / 1352
页数：6
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