Summary
韦式爪状跖骨截骨术通过缩剪患病足跖趾骨底来改善爪状趾、持续性跖骨痛、跖趾骨（MTP）关节滑膜炎或跖趾骨关节半脱位等的相应症状。术后能够为足趾的放松提供足够的空间并使其回复正常位置。
Wei's claw metatarsal osteotomy improves the symptoms of claw toe, persistent metatarsal pain, metatarsophalangeal synovitis (MTP) or metatarsophalangeal subluxation by cutting the diseased metatarsophalangeal base. After surgery, enough space can be provided for the relaxation of the toes and will return to normal position.
1.术前准备
1. preoperative preparation
病人取合适体位以便清晰的暴露手术视野。之后进行麻醉和手术部位的清洁消毒。
The patient took the appropriate position to expose the operative vision clearly. After that, the anesthetic and surgical sites were cleaned and sterilized.
2.暴露手术部位关节
2. exposure of surgical site joints
手术需沿着患病脚趾顶端到底端开一处切口。
Surgical incision should be made along the top end of the sick toe.
3.缩短跖骨
3. shortening metatarsal bone
以一定角度切除部分跖骨末部，将被切跖骨末部向后滑移。手术中在跖骨关节顶端插入一根螺丝固定被切跖骨末部，固定后切除超出的骨端。经过这些处理，缩短了跖骨，为足趾的伸展创造了更多的空间。
To remove part of the metatarsal at a certain angle, the distal part of the metatarsal will be cut back. During the operation, a screw was inserted at the top of the metatarsal joint to fix the end of the metatarsal bone, and the excess bone was removed after fixation. After these treatments, the metatarsus shortened, creating more room for the extension of the toes.
4.术后处理
4. postoperative management
术后缝合手术切口，用绷带包扎足趾部。病人应该穿术后特制鞋靴，或针对性的相应医护鞋。大部分病人在术后6-8个星期就能康复正常步态。
The incision was sutured and bandage was applied to the toe. Patients should wear special shoes or special medical shoes. Most patients can recover their normal gait within 6-8 weeks after operation.
矫形方案：
Orthopaedic scheme:
1.穿前掌内高大于锤/爪状趾高度的加深鞋/靴；
1. deep Shoes / boots with a height higher than the hammer / claw toe in the front palm.
2.如果爪状趾的活动度良好，可使用足趾夹板(见背页),如分趾器进行局部矫正固定；
2. If the claw toe is in good motion, toe splint (see back page) can be used, such as toe splitter for local correction and fixation;
3.使用有跖骨垫的足部矫形器，通过支撑跖骨后段底部，减轻足趾受压，缓解锤/爪状趾相应症状；
3. Using a foot orthosis with a metatarsal pad to support the bottom of the posterior segment of the metatarsal bone can relieve the compression of the toe and relieve the symptoms of the hammer/claw toe.
4.通过对鞋底进行拱形底改造，减短迈步前行过程中足趾的受力时间。
4. by changing the sole of the sole, the force time of the toe is shortened.
矫形方案：
Orthopaedic scheme:
1.穿前掌内高大于锤/爪状趾高度的加深鞋/靴；
1. deep Shoes / boots with a height higher than the hammer / claw toe in the front palm.
2.如果爪状趾的活动度良好，可使用足趾夹板(见背页),如分趾器进行局部矫正固定；
2. If the claw toe is in good motion, toe splint (see back page) can be used, such as toe splitter for local correction and fixation;
3.使用有跖骨垫的足部矫形器，通过支撑跖骨后段底部，减轻足趾受压，缓解锤/爪状趾相应症状；
3. Using a foot orthosis with a metatarsal pad to support the bottom of the posterior segment of the metatarsal bone can relieve the compression of the toe and relieve the symptoms of the hammer/claw toe.
4.通过对鞋底进行拱形底改造，减短迈步前行过程中足趾的受力时间。
4. by changing the sole of the sole, the force time of the toe is shortened.