中英文字幕：拇囊炎切除术（Bunionectomy）

　　拇囊炎是常见的足部缺陷，尤其好发于穿的鞋子太小或穿高跟鞋的人们。异常的压力引起大脚趾（拇趾）及其它脚趾（足趾）和足（跖）离开正常位置。结果，在大脚趾的一侧会出现明显的隆起，有时会发红的突起，往往会引起疼痛。在足底会形成老茧。当弯曲足趾、行走或穿鞋时会引起疼痛。

警告：请在有WIFI的场所观看视频，土豪请随意。

https://v.qq.com/txp/iframe/player.html?vid=w0566x10hjq&width=500&height=375&auto=0

Bunionectomy (Chevron Bunionectomy)

（拇囊炎切除术）

Overview（概述）

This outpatient procedure is performed to correct a bunion, a deformity of the toe joint. During the procedure, the surgeon may remove excess bone and then shift the toe into proper alignment. This surgery is commonly performed with regional anesthesia.

　　本门诊手术用于矫正拇囊炎，这是一种植脚趾关节的畸形。在术中，外科医生会去除额外的骨，然后将脚趾转位到合适的序列。手术通常在区域麻醉下进行。

Bunionectomy（拇囊炎切除）

In preparation for the procedure, the patient is positioned and anesthesia is administered. The surgeon creates an incision along the side of the toe to expose the bunion. The surgeon may remove a portion of this bone to eliminate the large bump. In most cases, this alone is not enough to correct the deformity. Commonly, the bones of the toe require realignment.

　　准备手术时，患者取合适体位，实施麻醉后，外科医生在脚趾侧方作一切口，以显露拇囊炎。医生会去除一部分骨头，以消除巨大的骨隆起。在大部分病例，单独这样做不足以矫正畸形。通常，脚趾头的骨头需要重新排列。

Osteotomy（截骨）

To correct the toe's alignment, the surgeon carefully cuts below the head of the first metatarsal. This allows the head of the bone to be repositioned. The surgeon may need to release tendons attached to the toe to eliminate the forces that are pulling the toe out of position.

　　为矫正脚趾的对线，外科医生小心地在第一跖骨头下切骨。这样跖骨头就可以重新定位。外科医生可能需要松解附着于脚趾的肌腱以消除将脚趾拉离位置的应力。

Realignment（重新排列）

The surgeon shifts the head of the first metatarsal to improve the alignment. The head of this bone is stabilized with screws, pins or other fixation devices.

　　外科医生将第一跖骨头转位以改善对线。第一跖骨头用螺钉、针或其它内固定装置固定。

End of Procedure and After Care（手术结束及术后护理）

When the procedure is complete, the surgeon closes the incision and bandages the foot. After a brief period of monitoring, the patient is allowed to go home. The patient will wear a walking cast, splint or surgical shoe for the next several weeks while the toe heals. The patient will be able to resume normal activities after six to eight weeks.

　　当手术完成后，外科医生关闭切口，将足用绷带包扎。在短时间的监护以后，病人被允许回家。在接下去的几周里，随着足趾的愈合，病人可能需要穿行走石膏、夹板或外科鞋。病人在术后6~8周可恢复正常活动。

（胡佰文    译）

相关阅读：

中英文字幕：距骨骨折（Fracture of the Talus）

中英文字幕：糖尿病足（Diabetic Foot）

精彩视频魅力无限，收藏转发一起分享

---