拇外翻术后复发的危险因素分析和翻修手术治疗进展
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王诚 WANG Cheng 上海交通大学附属第六人民医院骨科-足踝外科, 上海 200233 Foot & Ankle Section, Department of Orthopaedics, Shanghai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China  
施忠民 SHI Zhong-min 上海交通大学附属第六人民医院骨科-足踝外科, 上海 200233 Foot & Ankle Section, Department of Orthopaedics, Shanghai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China 18930177323@163.com 
期刊信息:《中国骨伤》2022年,第35卷,第9期,第893-897页
DOI:10.12200/j.issn.1003-0034.2022.09.018
基金项目:科技部国家重点研发计划(编号:2018YFC2001504);上海市"科技创新行动计划"生物医药领域科技支撑项目(编号:19441902400);宁夏回族自治区重点研发计划(编号:2020BCH01001)
中文摘要:拇外翻复发是临床最常见且难以处理的拇外翻术后并发症之一。由于对拇外翻三维畸形与复发危险因素的认识不足,总体复发率居高不下,治疗方案的选择也仍有很大的争议。手术操作不当、重度畸形是已知的复发危险因素,而第1跖列不稳定、合并扁平足畸形等在拇外翻复发中的作用正受到国内外学者的更多关注。除第1跖趾关节融合术以外,改良Lapidus截骨、跖骨近端截骨等也被证明是疗效可靠的翻修术式。本文旨在总结拇外翻术后复发的相关危险因素,并针对复发后翻修手术的选择进行探讨,以期对拇外翻复发的预防与处理提供指导。
【关键词】拇外翻  复发  翻修手术  综述
 
Analysis of risk factors and progress on revision surgery for postoperative recurrence of hallux valgus
ABSTRACT  Recurrence of hallux valgus is one of the most common and difficult complications after surgery.Due to the lack of understanding of 3D deformity of hallux valgus and risk factors for recurrence,the overall recurrence rate is still high,and the choice of treatment is still controversial.Improper operation and severe deformity are known risk factors for recurrence,while the role of unstable of the first plantar train and combined flat foot deformity in the recurrence has been paid more attention by scholars at home and abroad.In addition to the first metatarsophalangeal fusion,modified Lapidus osteotomy and proximal metatarsal osteotomy have been proven to be reliable revision procedures.The purpose of this study is to summarize risk factors for recurrence of hallux valgus after surgery,and to explore the choice of revision surgery after recurrence,in order to provide guidance for prevention and management of recurrence of hallux valgus.
KEY WORDS  Hallux valgus  Recurrence  Revision surgery  Review
 
引用本文,请按以下格式著录参考文献:
中文格式:王诚,施忠民.拇外翻术后复发的危险因素分析和翻修手术治疗进展[J].中国骨伤,2022,35(9):893~897
英文格式:WANG Cheng,SHI Zhong-min.Analysis of risk factors and progress on revision surgery for postoperative recurrence of hallux valgus[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(9):893~897
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