Arthroscopic First Metatarsophalangeal Arthrodesis for Repair of Fixed Hallux Varus Deformity

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• 作者：Tun Hing Lui ; MBBS(HK) ; FRCS(Edin) ; FHKAM ; FHKCOS ; ^{luithderek@yahoo.co.uk" class="auth_mail" title="E-mail the corresponding author}
• 关键词：arthroscopy ; fusion ; great toe ; hallux valgus ; osteoarthrosis
• 刊名：The Journal of Foot and Ankle Surgery
• 出版年：2015
• 出版时间：November-December 2015
• 年：2015
• 卷：54
• 期：6
• 页码：1127-1131
• 全文大小：1405 K

文摘

Arthroscopic first metatarsophalangeal arthrodesis for fixed hallux varus deformity can be very difficult because narrowing of the medial joint space results in difficult access. The abductor hallucis tendon and the medial capsule can be released through a small proximal plantar medial incision. This will convert the deformity into a flexible one and open up the medial joint space. This allows arthroscopic arthrodesis using the standard dorsolateral and medial portals. The plantar medial incision can also be used for arthroscopy of the metatarsosesamoid compartment and insertion of a screw for first metatarsophalangeal arthrodesis.