拇外翻治疗英课件

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1、TreatHalluxValguswithDynamicCompressionHalluxSplintTheDepartmentofOrthopaedicTrauma,People’sHospital,PekingUniversityBaoguoJiang,HailinXuStoffella`sChevronOsteotomyJohn’sTreathalluxvalguswithDynamicCompressionHalluxSplintandStoffella`sChevronosteotomy

2、OperativeprocedureAftertreatmentPatialweight-bearingexerciseafter2weeks.Totalweight-bearingexerciseafter4weeks.Removethesplintafter8weekspostoperatively.ClinicalmaterialOurdepartmenttreat25cases(34feets)withDCHalluxSplintfromNovember2001~December2005.Ma

3、le10cases(12feets),female15cases(22feet).Meanage54years(range46~75years)Unilateral18casesandbilateral8cases.Thepostoperativeradiologicalevaluationrevealedanaverageintermetatarsalangleof11°(range,4-16°)andaHalluxvalgusangleof32°(range,41-25°).ResultsThem

4、eanfollow-uptimeis30months(from20to45months).Themeanfracturehealingtimeisonemonth.TheMarylandmetatarsal-tarsaljointscoresareasfollowing:29toesscored90~100(85.29%),3toesscored80~89(11.76%),1toescored70~79(3.0%).Thepercentageofexcellentandgoodis97.05%.The

5、postoperativeradiologicalevaluationrevealedanaverageintermetatarsalangleof5.6°(range,4-8°)andaHalluxvalgusangleof12.7°(range,12-15°).DiscussioncommontreatmentKellerosteotomy、Mitchelosteotomy、ChevronosteotomyExternalfixationorLimitedfixation↓limitedlater

6、alshiftdistanceofcapitalfragmentThetimebeforeweight-bearingislongDChalluxsplintNewdesigndynamiccompressionfixationintramedullaryfixation↓enoughlateralshiftofcapitalfragmentrigidfixationearlyweight-bearingThankYou!