We retrospectively reviewed the results for seventy-five patients (109 feet) in whom a hallux valgus deformity had been corrected with the release of the distal soft tissues, excision of the medial eminence, plication of the medial part of the capsule, and proximal crescentic osteotomy of the first metatarsal. The patients were followed for an average of thirty-four months (range, twenty-four to fifty-six months). The preoperative hallux valgus angle averaged 31 degrees, and the postoperative angle averaged 9 degrees. The preoperative intermetatarsal angle averaged 14 degrees and the postoperative angle, 6 degrees. Ninety-three per cent of the patients were satisfied with the result of the procedure. They stated that, given the same circumstances, they would have the operation again. The most common complication was hallux varus, which occurred in thirteen feet (nine patients). The other complications included recurrence of the hallux valgus in two feet, pain under a fibular sesamoid in one foot, and a tailor's bunion that was unrelated to the operation in one foot. Only five of forty-eight feet that had had a symptomatic plantar keratosis beneath the second metatarsal head preoperatively remained symptomatic postoperatively.

译文

:我们回顾性研究了75例(109英尺)患者的结果,这些患者的拇外翻畸形已通过远端软组织的释放,内侧隆起的切除,囊内侧部分的折叠以及近端的矫正得到了纠正第一meta骨的新月形截骨术。对患者平均随访34个月(范围为24到56个月)。术前拇外翻角平均31度,术后角平均9度。术前平均间角为14度,术后平均为6度。 93%的患者对手术结果感到满意。他们说,在相同情况下,他们将再次进行手术。最常见的并发症是拇内翻,发生在十三英尺(9例患者)。其他并发症包括两只脚的拇外翻复发,一只脚的腓骨芝麻骨下疼痛以及与一只脚的手术无关的裁缝拇囊炎。术前第二meta骨头下方有症状性足底角化病的四十八只脚中,术后仍保持症状。

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