改良Chevron截骨术联合拇收肌切断术治疗轻中度拇外翻

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Abstract Objective To evaluate the clinical effect of modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus by observing patients’recovery and prognosis. Methods The pre-operative and post-operative clinical data of 36 cases of mild or moderate hallux valgus (50 feet) were analyzed retrospectively. The AOFAS and VAS for the effect of operation were quantified. Results The scores and follow-up results showed that postoperative hallux valgus symptoms of all the patients had greatly improved. No wound infection, necrosis of the metatarsal head or nonunion was observed. The mean pre-operative HVA was 31.1°±4.3°, but was decreased to 14.8°±2.9°(P<0.05) post-operatively. IMA was decreased from 14.5°±3.4° to 7.4°±2.5°(P<0.05). The mean AOFAS score was improved from 48.7±7.0 points to 85.1±5.7 points(P<0.05).According to the performance assessment, 20 cases (26 feet) were excellent, 12 (19 feet) were good, and 4 cases (5 feet) were average, with an excellent and good rate of 90%. Conclusion The modified Chevron osteotomy combined with adductor pollicis amputation can be used in the treatment of mild or moderate hallux valgus to a good. effect This approach is worthy of improvement and clinical application .

Key words： hallux valgus modified Chevron osteotomy adductor pollicis amputation

Received: 03 March 2016

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	Articles by authors
	YU Lei
	ZUO Jinbu
	and SONG Likun

Cite this article:

YU Lei,ZUO Jinbu,and SONG Likun. Modified Chevron osteotomy combined with adductor pollicis amputation for treatment of mild or moderate hallux valgus[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(10): 994-996.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I10/994

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