| Keller手术治疗拇外翻疗效分析 |
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Received:October 22, 2002 Revised:March 22, 2003
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| 作者 | Author | 单位 | Unit | E-Mail |
| 文良元 |
WEN Liangyuan |
卫生部北京医院骨科,北京 100730 |
Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China |
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| 黄公怡 |
HUANG Gongyi |
卫生部北京医院骨科,北京 100730 |
Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China |
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| 申剑 |
SHEN Jian |
卫生部北京医院骨科,北京 100730 |
Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China |
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| 孙常太 |
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卫生部北京医院骨科,北京 100730 |
Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China |
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| 雷飞跃 |
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卫生部北京医院骨科,北京 100730 |
Department of Orthopaedics, Zhejiang Provincial Hospital of TCM Beijing, 100730, China |
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| 期刊信息：《中国骨伤》2003年16卷，第11期，第644-646页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:观察Keller手术治疗拇外翻疗效。
方法:对我院1978年1月-1995年12月间因拇外翻住院并行了Keller矫形术的病人进行随访,共随访到70例(118足)有效病人。术后时间为5～24年,平均9年,对拇趾及前足部症状改善,畸形矫正程度,足趾功能及术后各种并发症进行统计和分析,同时通过负重足印观察比较Keller矫形术对前足负重点的影响。
结果: Keller手术后病人拇趾及前足症状改善,拇外翻及叠趾畸形、矫正满意者98足,手术优良率为83%。并发症主要为拇趾麻木,拇外翻复发或未矫正,拇内翻,拇抓地力量弱,第二趾屈曲挛缩等,部分病人需要再次手术。
结论:Keller手术通过拇跖近节趾骨截骨及拇跖趾关节成形,以达到拇外翻矫正的目的。对年龄较大、拇外翻严重,或同时合并拇跖趾关节骨关节炎的患者是一个较好的治疗方法。近节趾骨截骨是手术成功的关键。 |
| [关键词]:趾 畸形 矫形外科学 |
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| Analysis of the effect of Keller's operation on hallux valgus |
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Abstract:
Objective:To observe clinical effect of Keller's operation on hallux valgun
Methods:From 1978 to 1995,70 cases(118 feet) of hallux valgus were followed up with an average of 9 years after Keller's operation. The symptoms improvement in the big toe and the forefoot,the deformity correction,the function of toes and the various complication after operation were analyzed. At the same time, the change of weight-bearing point via the foot print after operation were analyzed.
Results:98 feet got satisfied Results after the Keller' s operation from the symptoms improvement and the correction of the hallux valgus and over-lapped toes. According to standard of Wenjianmin, the efficacious rate of operation was 83%. The complications were the numbness, valgus recurrence, hallux varus, flexion weakness of big toe, the flexion contracture of the second toe.
Conclusion:The Keller's operation can reach the goal of the complete correction of the first phalanx-mete-tarsal joint through the osteotomy of the first proximal phalanx. The Keller's operation is a good choice for those patients with old age,severe hallax valgus and combined osteoarthritis. The osteotomy of the first phalanx is key for successful operation. |
| KEYWORDS:Toes Abnormalities Orthopedics |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 文良元,黄公怡,申剑,孙常太,雷飞跃.Keller手术治疗拇外翻疗效分析[J].中国骨伤,2003,16(11):644~646 |
| 英文格式: | WEN Liangyuan,HUANG Gongyi,SHEN Jian.Analysis of the effect of Keller's operation on hallux valgus[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(11):644~646 |
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