小切口改良Mc Bride矫形术治疗足踇外翻畸形的临床疗效观察

目的:评估和总结使用小切口改良Mc Bride矫形术治疗足踇外翻畸形的临床疗效。方法:选择2010-2014年我院收治的明确诊断为踇外翻畸形的104例患者,所有患者均行小切口改良Mc Bride矫形术,观察和比较患者手术前和手术后3周、6个月时的VAS疼痛评分、踇外翻角测量(HVA)、跖骨间角测量(IMA)及足踝AOFAS评分。结果:所有患者均至少随访至术后6月,优良率为96.2%,患者术后3周、6月VAS评分、HVA与IMA的角度、AOFAS评分均较术前均明显改善,差异均具有统计学意义(P0.05)。仅3例患者在术后6个月时畸形复发,6例出现足部轻度疼痛,1例出现切口延迟愈合,余无明显并发症出现。结论:小切口改良Mc Bride矫形术能够有效纠正踇外翻畸形,并减轻患者的疼痛。

Observation on the Clinical Efficacy of Modified McBride Orthomorphia with Small Incision in the Treatment of Hallusx Valgus

Objective:To evaluate the clinical efficacy of modified McBride orthomorphia with small incision in the treatment of Hallusx Valgus.Methods:104 patients who were admitted in our hospital from 2010 to 2014 and diagnosed as Hallusx Valgus were cured by modified mcBride orthomorphia. The clinical efficacy was evaluated by visual analogue scale (VAS), the changes of hallus valgus angle(HVA) and intermetatarsal angle(IMA) and Ankle Society score(AOFAS) at reoperation, 3 weeks after surgery and 6 weeks after surgery.Results:All the patients were followed up at least 6 months after the operation and the excellent rate was 96.2%. The postoperative VAS score, hallus valgus angle and Ankle Society score at 3 weeks after surgery were obviously improved compared with those preoperation (P<0.05). Only three patients had recurrence at 6 months after surgery, 6 patients had mild pain of foot and 1 case had delayed healing of incision.Conclusion:Modified McBride orthomorphia with small incision could effectivly correct the foot hallux valgus deformity and relieve the pain due to this disease.