可吸收螺钉与金属螺钉治疗中重度拇外翻的临床应用效果.

Objective: To explore the clinical application of absorbable screws and metal screw in the treatment of patients with moderate to severe hallux valgus. Methods: From January 2016 to January 2018, 28 patients with moderate to severe hallux valgus admitted to our hospital were enrolled in the study. They were divided into 2 groups according to the random number table method. The control group and the observation group were treated with metal screws or absorbable screws. Patients with hallux valgus. Absorbing screws treat hallux valgus. Perioperative indicators were compared between the two groups, the hallux valgus angle (HVA) before and after surgery, the angle between the first and second metatarsal, the American Society of Orthopedic Foot and Foot Function (AOFAS), and complications. Results: There was no significant difference in operation time, intraoperative blood loss, and hospital stay between the two groups (P>0.05). The HVA, IMA and AOFAS were better than those before operation (P<0.05). There was no significant difference in HVA, IMA and AOFAS between the two groups(P>0.05). The excellent and good rate of treatment in the control group was 88.46%, and the excellent and good rate in the observation group was 92.31%. There was no significant difference in the excellent and good rate between the two groups (P>0.05). The incidence of delayed healing or non-union, hallux valgus recurrence or postoperative loss correction in the observation group was lower than that in the control group(P<0.05). Incision infection and tibia lateral displacement occurred in the two groups. There was no significant difference in the incidence of metastatic pain and hallux valgus (P>0.05). Conclusion: After the hallux valgus osteotomy, it can be fixed by absorbable screws, the treatment effect is remarkable, and the safety is high, which is worthy of being widely used in clinical practice. [ABSTRACT FROM AUTHOR]