CAJ | 학술논문

目的：探讨对保守治疗无效的拇外翻患者行Chevron截骨术的临床疗效。方法对15例经半年以上保守治疗无效的拇外翻患者行Chevron截骨术。结果14例获随访，时间6～24个月。患足疼痛症状明显好转，拇外翻外形得以改善。按美国足与踝关节协会制定的AOFAS足拇趾-跖趾关节-趾间关节功能评分系统，由术前56．2分±5．6分提高至术后85.3分±4.5分（P＜0.05）。结论 Chevron截骨术治疗经保守治疗无效的拇外翻患者，症状改善明显，近期疗效满意。
목적：탐토대보수치료무효적무외번환자행Chevron절골술적림상료효。방법대15례경반년이상보수치료무효적무외번환자행Chevron절골술。결과14례획수방，시간6～24개월。환족동통증상명현호전，무외번외형득이개선。안미국족여과관절협회제정적AOFAS족무지-척지관절-지간관절공능평분계통，유술전56．2분±5．6분제고지술후85.3분±4.5분（P＜0.05）。결론 Chevron절골술치료경보수치료무효적무외번환자，증상개선명현，근기료효만의。
Objective To explore the clinical efficacy of the Chevron osteotomy for the treatment of patients with hal-lux valgus who had conservative treatment failure and to evaluate its effectiveness.Methods 15 patients were treated by Chevron osteotomy.They all had invalid results with more than six months of conservative treatment.Results 14 patients were followed up(ranged,6 to 24 months).After surgery,patients′s symptoms such as pain were signifi-cantly improved,the outward appearance of foots had improved.Used AOFAS (enacted by the American Foot and Ankle Society foot toe-the metatarsophalangeal joints-interphalangeal joint function scoring system),the mean score was significantly increased from (56.2 ±5.6 )points preoperatively to (85.3 ±4.5 )points postoperatively (P<0.05 ).Conclusions The Chevron osteotomy is effective for hallux valgus who have conservative treatment failure. After the surgery,the symptoms improves significantly,and the short-term effect is good.