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Updated: Jul 10, 2025

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在年轻患者中治疗哈卢克斯瓦尔古斯 (Hallux Valgus) 间变形的大脚间融合

David E Westberry¹, Emily R Shull¹, Branum Layton²

¹Shriners Hospitals for Children.

Journal of pediatric orthopedics

|November 24, 2023

概括

大脚间关节 (IP) 融合在年轻患者中有效治疗状间,满意度高,融合成功率高. 螺丝固定是常见的,但可能需要移除硬件.

科学领域:

整形外科手术整形外科手术
儿科整形医生儿科整形医生
足部和脚的手术手术.

背景情况:

哈卢克斯瓦尔古斯 (Hallux valgus interphalangeus) 是一种不常见的儿科变形.
大脚间关节 (IP) 的融合通常需要进行校正.

研究的目的:

评估年轻患者初级大指IP关节关节节的指示,放射性结果和并发症.
分析合后的状角,IP角和间角的放射变化.

主要方法:

27名患者 (8-19岁) 的回顾性审查,大脚关节融合后>1年随访.
分析手术指示,并发手术,融合成功,并发症和硬件相关问题.
术前和术后角度的放射评估.

主要成果:

在31个脚中的30个成功融合; 94.1%的患者对减轻疼痛和脚位置的满意度.
在IP角度显著改善 (P < 0.001);在和间角的最小变化.
螺丝固定比基尔施纳电线更常见;硬件问题是最常见的并发症.

结论:

大脚IP关节关节切除术是小儿患者中中的成功治疗方法.
螺丝和基尔施纳电线固定都产生了类似的融合结果.
患者应被告知潜在的硬件相关并发症和硬件拆除的可能性.

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