Abstract：Objective: To explore the clinical effect of minimally invasive surgery in the treatment of adult patients with hallux valgus. Methods: The clinical data of 78 cases of adult patients with hallux valgus treated in our hospital from January 2012 to January 2014 in our hospital were selected as the research object and analyzed retrospectively, of which 13 cases underwent Mayo, 20 cases underwent McBride, 22 cases underwent Keller, 23 cases underwent modified McBride, then the clinical efficacy and gait were analyzed. Results: After treated by modified McBride, HVA and IMA level were lower than those by McBride, Keller and Mayo(P<0.05), and the excellent rate of modified McBride (91.30%) was higher than that of Mayo (46.15%), McBride (75%), Keller (81.82%), there was significant difference (P<0.05). Conclusion: Modified McBride can be used to correct hallux valgus and restore the thumb flexion and extension ability, improve the clinical efficacy, which is worthy of clinical promotion and application.
闫世杰, 付强, 侯熙智, 王江泳, 王海涛. 不同微创矫正术治疗成人拇外翻的疗效观察[J]. 河北医学, 2017, 23(3): 439-441.
YAN Shijie, FU Qiang, HOU Xizhi, et al. Effect of Different Minimally Invasive Surgery on Adult Patients with Hallux Valgus. HeBei Med, 2017, 23(3): 439-441.
[1] 周利明,姜伟星,刘清涛,等.背负不同负荷对儿童行走时足底压力的影响[J].河北医学,2014,(7):1173~1176. [2] 毛威,闫辉.Ludloff截骨修复矫治拇外翻的三维力学特点[J].中国组织工程研究与临床康复,2011,15(26):4919~4922. [3] Mummaneni P V,Tu T H,Ziewacz J E,et al.The Role of Minimally Invasive Techniques in the Treatment of Adult Spinal Deformity[J].Neurosurgery clinics of North America,2013,24(2):231~248. [4] 闫行超,刘彬,刘鉴峰,等.Keller手术治疗老年人拇趾外翻畸形的临床疗效[J].中国老年学杂志,2015,(8):2136~2137. [5] 黄加张,马昕,王旭,等.手术治疗拇外翻218例的临床症状分析[J].中国骨与关节损伤杂志,2011,26(12):1076~1077. [6] 张奉琪,裴宝岩,魏书田,等.拇趾外翻截骨术后第1跖骨的长度与转移性跖骨痛的相关性分析[J].中华医学杂志,2013,93(43):3441~3444.
2017, Vol. 23 
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