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    曹广超, 徐明亮, 石荣剑, 杨龙, 辛兵. 微创和开放chevron截骨术治疗轻中度拇外翻的疗效比较[J]. 徐州医科大学学报, 2022, 42(6): 463-468. DOI: 10.3969/j.issn.2096-3882.2022.06.015
    引用本文: 曹广超, 徐明亮, 石荣剑, 杨龙, 辛兵. 微创和开放chevron截骨术治疗轻中度拇外翻的疗效比较[J]. 徐州医科大学学报, 2022, 42(6): 463-468. DOI: 10.3969/j.issn.2096-3882.2022.06.015
    Comparison of minimally invasive Chevron and Akin osteotomies in mild-moderate hallux valgus surgery[J]. Journal of Xuzhou Medical University, 2022, 42(6): 463-468. DOI: 10.3969/j.issn.2096-3882.2022.06.015
    Citation: Comparison of minimally invasive Chevron and Akin osteotomies in mild-moderate hallux valgus surgery[J]. Journal of Xuzhou Medical University, 2022, 42(6): 463-468. DOI: 10.3969/j.issn.2096-3882.2022.06.015

    微创和开放chevron截骨术治疗轻中度拇外翻的疗效比较

    Comparison of minimally invasive Chevron and Akin osteotomies in mild-moderate hallux valgus surgery

    • 摘要: 目的比较第3代微创Chevron-Akin术(MICA)与开放Chevron术治疗轻中度外翻(HV)的临床疗效。方法2017年7月—2020年2月,46例(共52足)轻中度HV纳入本研究。24足采用MICA截骨术,其中16例联合Akin术;28足采用开放Chevron截骨术,其中12例联合Akin术。比较2组患者的并发症、临床评分及相关影像学参数。结果2组患者均随访2年以上,微创组的平均手术时间、平均骨愈合时间均短于开放组(P<0.05)。微创组中有5例患者出现并发症,包括2例内固定刺激、1例关节僵硬及2例神经损伤,开放组中有9例患者出现并发症,包括6例关节僵硬、1例伤口开裂、2例瘢痕增生。2组总并发症发生率的差异无统计学意义(P>0.05)。2组患者术前的围术期资料、影像学参数及临床评估的差异均无统计学意义(P>0.05)。2组患者术后矫形效果稳定,临床评分及影像学参数比较差异无统计学意义(P>0.05)。结论MICA与开放Chevron治疗轻中度HV均有良好的疗效,但MICA在缩短骨愈合时间和降低软组织并发症发生率方面更有优势。

       

      Abstract: ob<x>jective Compare the outcomes of the minimally invasive chevron and akin osteotomies (MICA) with open Chevron osteotomy for mild-moderate hallux valgus. Methods Data of 46 patients (52 feet) with mild-moderate hallux valgus from Jul 2017 to Feb 2020 were analyzed retrospectively. According to the results of preoperative doctor-patient communication, 24 patients were treated with MICA, while other 28 patients received open Chevron osteotomy. Perioperative data, radiographic parameters, and clinical outcomes were compared between the two groups. Results All patients were followed for more than two years. Bone healing and operation time in MICA group were superior to that in open group ( P<0.05). The complication rate in the MICA group (20.83%) was lower than that in the open group (32.14%) . The two treatment groups showed no differences in perioperative data, radiographic parameters, and clinical outcomes preoperatively (P>0.05). All clinical and radiographic outcomes improved significantly at post and follow-up evaluations in both groups (P< 0.001) with no difference between the groups (P>0.05). Conclusion The MICA and open chevron osteotomy showed an excellent efficacy for mild-moderate hallux valgus, with no obvious difference in effect

       

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