[1]刘 航,祁 峰,刘德成.Ludloff截骨术和Chevron截骨术治疗足拇外翻畸形疗效对比[J].中国美容医学,2023,(2):60-63.
　LIU Hang,QI Feng,LIU Decheng.Comparison on the Curative Effect of Ludloff Osteotomy and Chevron Osteotomy on Hallux Valgus Deformity[J].Medical Aesthetics and Beauty,2023,(2):60-63.
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Ludloff截骨术和Chevron截骨术治疗足拇外翻畸形疗效对比()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年2期
页码:
60-63
栏目:
出版日期:
2023-02-10

文章信息/Info

Title:
Comparison on the Curative Effect of Ludloff Osteotomy and Chevron Osteotomy on Hallux Valgus Deformity
文章编号:
1008-6455（2023）02-0060-04
作者:
刘 航1 ; 祁 峰2 ; 刘德成3
(1.湖北科技学院 湖北 咸宁 437100 ;2.黑龙江省医院整形外科 黑龙江 哈尔滨 150036 ;3.哈尔滨荣美医院整形外科 黑龙 江 哈尔滨 150096 )
Author(s):
LIU Hang1 ; QI Feng2 ; LIU Decheng3
(1.Hubei University of Science and Technology,Xianning 437100,Hubei,China;2.Department of Plastic Surgery,Heilongjiang Provincial Hospital,Harbin 150036,Heilongjiang,China;3.Department of Plastic Surgery,Harbin Rongmei Hospital,Harbin 150096,Heilongjiang,China)
关键词:
足拇外翻; Ludloff截骨术; Cheveron截骨术; 矫正效果; 足踝功能
Keywords:
hallux valgus deformity;  Ludloff osteotomy;  Chevron osteotomy;  corrective eff ect;  ankle function
分类号:
R622
文献标志码:
A
摘要:
目的：探讨Ludloff截骨术和Chevron截骨术治疗足拇外翻（Hallux valgus，HV）畸形的效果。方法：选取2021年 1 月-2021年12月在笔者医院行截骨术治疗的HV畸形患者109例，根据不同手术方式分为Ludloff组（行Ludloff截骨术） 55 例（60足）和Chevron组（行Chevron截骨术）54例（58足）。观察并比较两组患者临床疗效优良率，以美国足踝评 分系统（American orthopaedics foot and ankle score ，AOFAS）评估两组足踝功能，以X线片测定两组患者拇外翻角 （Hallux valgus angle，HVA）、第Ⅰ、Ⅱ跖骨间角（Intermetatarsal angle，IMA）及第1跖骨远关节面角（Distal metatarsal articular angel，DMAA），并统计两组术后并发症发生情况。结果：术后，Ludloff组和Chevron组优良 率比较差异无统计学意义（P＞0.05）；但Chevron组临床疗效为优的比例（89.66%）高于Ludloff组（75.00%），差异 有统计学意义（P＜0.05）。术后3个月，两组AOFAS评分均显著升高，且Chevron组评分高于Ludloff组，差异有统计学意义 （P＜0.05）；两组HVA、IMA、DMAA指标均显著下降，且Chevron组低于Ludloff组，差异有统计学意义（P＜0.05）。两组术 后均未发生感染等严重并发症。结论：Ludloff截骨术和Chevron截骨术治疗HV畸形均有良好效果，可改善HVA、IMA、DMAA角 度，改善患者足踝功能，且Chevron截骨术的效果更佳，值得临床推广应用。
Abstract:
Objective To explore the curative effect of Ludloff osteotomy and Chevron osteotomy on hallux valgus(HV) deformity. Methods A total of 109 patients with HV deformity undergoing osteotomy in the hospital were enrolled between January and December 2021. According to different surgical methods, they were divided into the Ludloff group ( Ludloff osteotomy, 55 cases, 60 feet) and the Chevron group (Chevron osteotomy, 54 cases, 58 feet). The good rate of clinical curative eff ect was compared between the two groups. The ankle function of patients was evaluated by American orthopaedic foot and ankle society (AOFAS). The hallux valgus angle (HVA), Ⅰ、Ⅱ intermetatarsal angle (IMA) and the fi rst distal metatarsal articular angel (DMAA) in both groups were measured by X-ray fi lms. The occurrence of surgical complications in both groups was statistically analyzed. Results After surgery, there was no signifi cant diff erence in good rate between the two groups (P ＞0.05). The good rate of clinical curative eff ect in the Chevron group was higher than that in the Ludloff group (89.66% vs 75.00%), the diff erence was statistically signifi cant (P ＜0.05). At 3 months after surgery, AOFAS scores in both groups were signifi cantly increased, which were higher in the Chevron group than the Ludloff group (P ＜0.05). At 3 months after surgery, HVA, IMA and DMAA in both groups were signifi cantly decreased, which were lower in the Chevron group than the Ludloff group (P ＜0.05). There were no serious complications in two groups after surgery. Conclusion The curative eff ect of both Ludloff osteotomy and Chevron osteotomy is good on HV deformity, which can improve HVA, IMA, DMAA and ankle function of patients. The eff ect of Chevron osteotomy is better.
更新日期/Last Update: 2023-03-06