Comment on Giannini et al.: A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI)
Comment on Giannini et al.: A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI)
复制标题
DOI：
10.1007/s00264-013-2209-6
复制
发表时间：
2014-03
影响因子：
2.7
通讯作者：
Gen-bin Wu;Yunfeng Yang;G. Yu;Bing Li
中科院分区：
文献类型：
--
作者：
Gen-bin Wu;Yunfeng Yang;G. Yu;Bing Li
尊敬的编辑，我们饶有兴趣地阅读了Giannini等人在2013年9月刊《国际矫形外科》上发表的题为《拇指外翻外科治疗的微创技术：简单、有效、快速、廉价(SERI)》的文章。他们描述了一种治疗拇外翻(HV)的新的微创外科技术。他们分析了一系列连续的1000例HV病例，这些病例通过微创SERI技术进行了手术治疗，并在中期随访时报告了结果。他们得出结论，SERI技术在缓解症状和改善功能方面对轻中度HV患者是有效的。但是，我们对本文有几点看法：首先，公认的是，要矫正HV畸形，首先应该进行外侧软组织松解，包括拇内收肌附着物松解、跖横韧带松解、跖腓韧带松解和外侧关节囊松解，这样可以重新定位移位的籽骨，避免HV畸形的复发。然而，本文中提到的软组织手术，通过手动拉伸内收肌，其效果
Dear editor, We read the recent article entitled “A minimally invasive technique for surgical treatment of hallux valgus: simple, effective, rapid, inexpensive (SERI)” published in the September 2013 issue of International Orthopaedics by Giannini et al.[1] with great interest. They described a novel mini-invasive surgical technique for the treatment for hallux valgus (HV). They analysed a series of 1,000 consecutive cases of HV, surgically treated by the minimally invasive SERI technique, reporting results at mid-term follow-up. They concluded that the SERI technique was effective in treating mild to moderate HV patients in terms of relief from symptoms and functional improvement. However, there are some comments we would like to raise related to this article.First, it is accepted, to correct the HV deformity, a lateral soft tissue release should be performed first, which includes adductor hallucis attachment release, transverse metatarsal ligament release, metatarsalsesamoid ligament release and the lateral joint capsule release, which can reposition the displaced sesamoids and avoid recurrence of the HV deformities. However, the effect of the soft tissue procedure mentioned in this article, by manually stretching of the adductor hallucis