CAJ | 학술논문

目的：探讨改良Mcbride术治疗轻、中度拇外翻的临床疗效。方法选取采用改良Mcbride术治疗的拇外翻32例（52足），均获得随访，随访时间为6个月至6年，平均3．1年；男2例4足，女30例48足，手术年龄在21～59岁，平均41．6岁。结果参照美国足踝外科协会（AOFAS）前足评分系统对所有患者进行评定，优29足（55．8％），良17足（32．7％），优良率为88．5％；拇外翻角（HVA）较术前平均纠正了13．68°，第一、二跖骨间角（IMA）较术前平均纠正了3．24°。结论此术式能有效地减小增大的拇外翻角，同时也缩小第1、2跖骨间角，复位相对脱位的籽骨，有效地去除或减缓拇囊炎症状。此方法创伤小，恢复快，能较好的解除患者的疼痛，改善足部外形，对于轻、中度拇外翻患者来说可优先考虑软组织修复手术进行矫治。
목적：탐토개량Mcbride술치료경、중도무외번적림상료효。방법선취채용개량Mcbride술치료적무외번32례（52족），균획득수방，수방시간위6개월지6년，평균3．1년；남2례4족，녀30례48족，수술년령재21～59세，평균41．6세。결과삼조미국족과외과협회（AOFAS）전족평분계통대소유환자진행평정，우29족（55．8％），량17족（32．7％），우량솔위88．5％；무외번각（HVA）교술전평균규정료13．68°，제일、이척골간각（IMA）교술전평균규정료3．24°。결론차술식능유효지감소증대적무외번각，동시야축소제1、2척골간각，복위상대탈위적자골，유효지거제혹감완무낭염증상。차방법창상소，회복쾌，능교호적해제환자적동통，개선족부외형，대우경、중도무외번환자래설가우선고필연조직수복수술진행교치。
Objective To explore the curative effect of clinical application of modified McBride's procedure on correcting mild-moderate hallux valgus.Methods We had retrospectively assessed 32 patients(52 feet)treated with the procedure of modified McBride's procedure.All patients were followed up,the follow -up period from 6 months to 6 years(3.1 years on average).There were 2 male(4 feet)patients and 30 female(48 feet)patients in this group.The average age at the time of surgery was 41.6 years old(from 21 to 59 years).Results According to the forefoot score of American Orthopedics Foot and Ankle Society(AOFAS),29 feet(55.8%)were excellent,17 feet (32.7%)were good,And the rate of excellent and good was 88.5%.The average correction of HVA and IMA was 13.68°and 3.24°respectively compared with the preoperative cases.Conclusion This procedure can not only effec-tively reduce the increased hallux valgus angle,but also narrow the angle between the 1st and 2nd metatarsal,relocate the sesamoid system,and effectively relieve patients'pain.This approach is of minor side effects to bone and joint structure,and of rapid recovery.It is a preferential choice to treat mild-to-moderate hallux valgus deformity.