改良Scarf截骨术治疗中重度踇外翻的临床效果

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Abstract Objective To explore the clinical effect of modified Scarf osteotomy in the treatment of moderate to severe hallux valgus. Methods A total of 80 cases with moderate to severe hallux valgus admitted to our hospital from April 2017 to February 2019 were selected as the research objects, they were divided into two groups according to the random number table method, with 40 cases in each group. The control group received traditional Scarf osteotomy, and the observation group received modified Scarf osteotomy. The classification of hallux valgus angle (HVA), the 1, 2 metatarsal angle (IMA) and the tibial sesamoid position grading were compared between the two groups of patients after surgery; the complications of the two groups were counted; follow-up for 3 months, the American Orthopaedic Foot and Ankle Score (AOFAS score) changes were counted. Results Three months after surgery, the HVA and IMA angles and classification of the tibial sesamoid position in the observation group were higher than those in the control group, the differences were statistically significant (P＜0.05). The total incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P＜0.05). At 1 month and 3 months after surgery, the AOFAS score in the observation group was higher than that in the control group, the difference was statistically significant (P＜0.05). Conclusion For patients with hallux valgus deformity, the implementation of modified Scarf osteotomy can effectively improve the postoperative anatomical structure of the foot after surgery, and has fewer surgical complications, which is of great value in promoting postoperative functional recovery.

Key words： Modified surgery Scarf osteotomy Moderate to severe Hallux valgus Complication

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	LIU Zheng-yu
	CUI Jun

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LIU Zheng-yu,CUI Jun. Clinical effect of modified Scarf osteotomy in the treatment of moderate to severe hallux valgus[J]. 中国当代医药, 2020, 27(25): 96-98.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/96

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