Lapidus截骨术微切口与传统切口治疗重度拇外翻的疗效分析

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Abstract Objective To compare the clinical effects of the Lapidus osteotomy with minimal invasive incision and conventional incision in the treatment of severe hallux valgus.Methods From March 2013 to June 2014,25 patients (25-foot) with severe hallux valgus were treated in the traditional incision of Lapidus osteotomy (conventional group).From October 2014 to February 2017,24 patients (25-foot) with severe hallux valgus were treated in the micro-incision of Lapidus osteotomy (minimally invasive group).Modified McBride soft tissue surgery orthopedic was used to correct hallux valgus deformity.The basic information,perioperative data, related complications, postoperative HVA and IMA, the score of the American foot and ankle surgery association (AOFAS) of both groups were compared.Results All patients were followed up 7 to 24 months. The conventional group was followed up for (12±2.7) months,and the minimally invasive group was followed up for (12±1.3) months.The differences in HVA,IMA,and AOFAS score were not statistically significant in two groups (P＞0.05).The minimally invasive group was superior to the conventional group in the incision length, time of operation,intraoperative bleeding,and the length of hospital stay,and the difference was statistically significant (P＜0.05).Conclusion Lapidus osteotomy micro-incision treatment of severe hallux valgus has the familiar therapeutic effects to conventional incision,and has the advantages of small incision,short operation time,less intraoperative bleeding,shorter hospitalization time,so it was worth clinical promotion.

Key words： lapidus osteotomy minimally invasive hallux valgus deformity

Received: 22 December 2017

PACS:

R687.3

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	Articles by authors
	FU Bingjin
	ZHU Yahui
	ZHU Xiaodong
	YANG Jialin

Cite this article:

FU Bingjin,ZHU Yahui,ZHU Xiaodong, et al. Clinical effect of the lapidus osteotomy in the severe hallux valgus deformity with differentincision:minimal invasive incision or conventional incision[J]. 滨州医学院学报, 2018, 41(4): 269-271.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/ OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2018/V41/I4/269

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