中英文字幕：第一跖趾关节融合术

　　第1跖趾关节融合术适用于各种原因所致的𧿹僵硬，第1跖趾关节有严重退行性变，有明显背伸受限和疼痛，影响行走功能者；亦可适用于严重𧿹外翻畸形，或由类风湿关节炎及其他原因所致的𧿹趾严重畸形。

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First Metatarsal-Phalangeal Joint

（MTP） Arthrodesis

第一跖趾关节融合术

Overview（概述）

This surgical procedure is performed to help relieve pain in the front of the foot and correct deformities in the MTP joint of the big toe caused by injury, arthritis or genetic defect. The procedure fuses the bone at the base of the big toe to the first metatarsal bone of the foot.

　　本手术用于缓解前足疼痛，矫正因外伤、关节炎或先天缺损引起的大脚趾的第一跖趾关节畸形。该手术将大脚趾近端的骨与脚上的第一跖骨的骨融合在一起。

Preparation（准备）

The patient is positioned so that the top of the foot is clearly visible to the surgeon. Anesthetic is administered and the area is cleaned and sterilized.

　　患者妥善摆放体位，以便外科医生可清楚地观察足背。麻醉后术区清洁消毒。

Accessing the Joint（显露关节）

An incision is made above the MTP joint over the big toe and the joint is examined. Cartilage in the joint between the bones is removed. If the toe is misaligned, the bones are repositioned.

　　在大脚趾近端第一跖趾关节处作切口，显露检查关节。清理两骨间关节内的软骨，如足趾对线异常，将其矫正重排。

Fusing the Joint（融合关节）

A metal pin, screws, or plates are inserted through the bones to hold them in place for fusion and to angle the big toe slightly upward for walking. Bone graft may be placed around the joint to aid in fusion. A metal plate may also be placed above the joint to stabilize the toe.

　　在骨头里穿入金属针、螺钉或钢板以将骨头维持在位以利于融合，并将大足趾稍上翘以便于行走。为促进骨融合，在关节周围可植入骨移植物。为稳定脚趾，可能会在关节上植入钢板。

End of Procedure（手术结束）

The incision is closed with sutures or surgical staples. The foot is bandaged and may be placed in a specialized splint or half-cast. The patient may be able to leave the hospital the same day as the procedure.

　　缝合或使用外科皮钉关闭切口。脚用绷带包扎并放入特殊的夹板或石膏托内。手术当天患者可能可以离院回家。

After Care（术后护理）

A moving cast or wooden-soled shoe may be required for up to six weeks after a subsequent check-up. Full recovery usually takes six to nine months.

　　术后随访检查后，至少6周内需要穿行走石膏或木底鞋。完全康复可能需要6~9个月。

（胡佰文    译）

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中英文字幕：距骨骨折（Fracture of the Talus）

中英文字幕：糖尿病足（Diabetic Foot）

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