左足拇外翻截骨矫形术(Scarf截骨术)
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2023-3-20 18:10
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Scarf截骨术是1983年Zygmunt等首次描述使用该方法治疗踇外翻。该手术是在第1跖骨干内侧,从内向外做“Z”形截骨,然后推挤跖骨下半向外侧平移,并使跖骨头向外侧旋转,以缩小1、2跖间角。用两枚螺钉固定截骨面。Akin截骨术自1925年Akin医生首次使用该方法治疗踇外翻。最初描述的该型截骨包括跖骨头内侧骨赘切除、近节趾骨基底内侧缘的切除和近节趾骨基底内侧的楔形截骨。之后一些医生又将其发展为近节趾骨远端截骨、斜形截骨和趾骨阶段切除等术式,以纠正不同的趾骨病理改变。Scarf手术结合Akin手术可以扩大手术指症,增加矫形力度。
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