随着技术和器械的不断发展, 小关节关节镜技术日趋成熟。在足踝领域, 第一跖趾关节镜治疗拇外翻的方法被越来越多的医师应用于临床, 并取得了一定成效。它不仅可以用于诊断, 也可以用于治疗。由于是新技术, 它也不可避免的存在一些问题和局限性。本文将对第一跖趾关节镜在矫治拇外翻中的应用进展做一综述。
关键词:
关节镜; 治疗; 拇外翻; 畸形; 手术
With the introduction of new instruments and techniques,the arthroscopy of small joints has been rapidly developing.The first metatarsophalangeal arthroscopic treatment is used for treatment of hallux valgus more and more,and good results have been achieved.It has been used for both diagnostic and therapeutic indications.As a new technology,it is also inevitable that there are some problems and limitations of it.Application progress of arthroscopy for correction of hallux valgus will be elaborated and discussed.
[1] Ferkel RD,Karzel RP,Del PW,Friedman MJ,Fischer SP.Arthroscopic treatment of anterolateral impingement of the ankle[J].Am J Sports Med,1991,19(5):440-446.
[2] Ferkel RD,Scranton PE Jr.Arthroscopy of the ankle and foot[J].J Bone Joint Surg Am,1993,75(8):1233-1242.
[3] Ahn JH,Lee SK,Kim KJ,Kim YI,Choy WS.Subtalar arthroscopic procedures for the treatment of subtalar pathologicconditions:115 consecutive cases[J].Orthopedics,2009,32(12):891.
[4] Coughlin MJ.Hallux valgus.Causes,evaluation,and treatment[J].Postgrad Med,1984,75(5):174-178.
[5] Coughlin MJ,Mann RA,Saltzman CL.Surgery of the foot and ankle[M].8th ed,Philadephia:Mosby,2007:183-363.
[6] Bartlett DH.Arthroscopic management of osteochondritis dissecans of the first metatarsalhead[J].Arthroscopy,1988,4(1):51-54.
[7] Ahn JH,Choy WS,Lee KW.Arthroscopy of the first metatarsophalangeal joint in 59 consecutive cases[J].J Foot Ankle Surg,2012,51(2):161-167.
[8] Wang CC,Lien SB,Huang GS,et al.Arthroscopic elimination of monosodium urate deposition of the firstmetatarsophalangeal joint reduces the recurrence of gout[J].Arthroscopy,2009,25(2):153-158.
[9] van DCN,Veenstra KM,Nuesch BC.Arthroscopic surgery of the metatarsophalangeal first joint[J].Arthroscopy,1998,14(8):851-855.
[10] Davies MS,Saxby TS.Arthroscopy of the first metatarsophalangeal joint[J].J Bone Joint Surg Br,1999,81(2):203-206.
[11] Debnath UK,Hemmady MV,Hariharan K.Indications for and technique of first metatarsophalangeal joint arthroscopy[J].Foot Ankle Int,2006,27(12):1049-1054.
[12] Lui TH.First metatarsophalangeal joint arthroscopy in patients with hallux valgus[J].Arthroscopy,2008,24(10):1122-1129.
[13] Stroud CC.Arthroscopic arthrodesis of the ankle,subtalar,and first metatarsophalangealjoint[J].Foot Ankle Clin,2002,7(1):135-146.
[14] Coughlin MJ,Shurnas PS.Hallux rigidus[M].J Bone Joint Surg Am,2004,86(Suppl 1):119-130.
[15] Steadman JR,Briggs KK,Rodrigo JJ,et al.Outcomes of microfracture for traumatic chondral defects of the knee:average11-year follow-up[J].Arthroscopy,2003,19(5):477-484.
[16] Millett PJ,Huffard BH,Horan MP,et al.Outcomes of full-thickness articular cartilage injuries of the shoulder treatedwith microfracture[J].Arthroscopy,2009,25(8):856-863.
[17] Siclari A,Decantis V.Arthroscopic lateral release and percutaneous distal osteotomy for hallux valgus:a preliminary report[J].Foot Ankle Int,2009,30(7):675-679.
[18] Okuda R,Kinoshita M,Yasuda T,et al.Postoperative incomplete reduction of the sesamoids as a risk factor forrecurrence of hallux valgus[J].J Bone Joint Surg Am,2009,91(7):1637-1645.
[19] Easley ME,Kiebzak GM,Davis WH,et al.Prospective,randomized comparison of proximal crescentic and proximal chevronosteotomies for correction of hallux valgus deformity[J].Foot Ankle Int,1996,17(6):307-316.
[20] Zettl R,Trnka HJ,Easley M,et al.Moderate to severe hallux valgus deformity:correction with proximal crescenticosteotomy and distal soft-tissue release[J].Arch Orthop Trauma Surg,2000,120(7):397-402.
[21] Judge MS,LaPointe S,Yu GV,et al.The effect of hallux abducto valgus surgery on the sesamoid apparatus position[J].J Am Podiatr Med Assoc,1999,89(11):551-559.
[22] Carreira DS.Arthroscopy of the hallux[J].Foot Ankle Clin,2009,14(1):105-114.
[23] Lui TH.Arthroscopic release of first metatarsophalangeal arthrofibrosis[J].Arthroscopy,2006,22(8):906.