| 微创截骨治疗拇外翻合并小趾囊炎 |
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投稿时间：2011-07-01
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| 作者 | Author | 单位 | Address | E-Mail |
| 李静 |
LI Jing |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
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| 谢鸣 |
XIE Ming |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
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| 勘武生 |
KAN Wu-sheng |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
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| 李鲲 |
LI Kun |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
likun2121@yahoo.com.cn |
| 方真华 |
FANG Zhen-hua |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
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| 黄若昆 |
HUANG Ruo-kun |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
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| 赵晶晶 |
ZHAO Jing-jing |
华中科技大学同济医学院附属武汉市普爱医院足踝外科,湖北 武汉 430030 |
Department of Foot Ankle Surgery,the Pu'ai Hospital Affiliated to Huazhong Science and Technology University,Wuhan 430030,Hubei,China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第8期，第648-651页 |
| DOI：10.3969/j.issn.1003-0034.2011.08.008 |
| 基金项目: |
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中文摘要:
目的: 观察微创截骨矫正术治疗拇外翻合并小趾内翻畸形的临床疗效.
方法: 自2007年5月至2009年5月,采用微创截骨矫正术治疗拇外翻合并小趾内翻32例(49足),男2例(2足),女30例(47足);年龄23～80岁,平均57岁.手术前后对患者负重正位X线的HAV角(拇外翻角),IM角(第1、2跖骨间角),第4、5跖骨间角,改良第4、5跖骨间角,小趾内翻角及第5跖骨外翻角进行比较；采用拇外翻疗效评定标准从畸形纠正、拇趾跖趾关节活动度、患者满意度等情况对疗效进行评定；同时按照美国足与踝关节协会小趾-跖趾-趾间关节评分系统(AFAS)对手术前后的AFAS评分进行比较.
结果: 所有患者手术顺利,手术时间30～60 min,平均40 min;32例均获随访,时间6～24个月,平均13.5个月.术后负重正位X线的HAV角,IM角,第4、5跖骨间角,改良第4、5跖骨间角,小趾内翻角及第5跖骨外翻角均较术前明显减小(P<0.05),术后AFAS评分较术前明显升高(P<0.05).按照上述疗效标准:优33足,良15 足,差 1足.
结论: 微创截骨矫正术治疗拇外翻合并小趾内翻具有损伤小、痛苦少、手术时间短、恢复快、矫形满意等优点. |
| 【关键词】外科手术,微创性 截骨术 拇外翻 畸形 |
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| Clinical investigation of the minimal invasive osteotomy for the treatment of hallux valgus combined with tailor's bunion |
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ABSTRACT
Objective: To investigate the clinical effects of the minimal invasive osteotomy treatment for hallux valgus combined with tailor's bunion deformity.
Methods: From May 2007 to May 2009,Forty-nine feet of 32 patients(a mean age of 57 years old) of hallux valgus combined with tailor's bunion deformity were reviewed retrospectively,including 2 males(2 feet) and 30 females(47 feet). All patients were treated by the minimal invasive osteotomy. The axial and lateral films of all feet with loading were taken before and after operation. The hallux abducto valgus angle(HAV),intermetatarsal angle(IM),fourth-fifth intermetatarsal angle(IM 4 to 5),modified fourth-fifth intermetatarsal angle(MIM 4 to 5),Metatarsophalangeal-fifth angle(MPA) and lateral deviation of the fifth matatarsal angle(LDA) were compared before and after operation. Therapeutic effects of all the patients were observed after operation,the item including AFAS score and WEN Jian-min's therapeutic effects standard.
Results: The average operating time was 40 minutes. All the patients were followed up,and the duration ranged from 6 to 24 months. The HAV angle,IM angle,IM 4 to 5 angle,MIM 4 to 5 angle,MPA angle and LDA angle significantly decreased after operation. The AFAS score significantly raised after operation. According to the criteria,33 feet got an excellent result,15 good and 1 fair.
Conclusion: The minimal invasive osteotomy treatment for hallux valgus combined with tailor's bunion is effective and safe. This method is mini-trauma,less pain and it can make a very soon rehabilitation. This method has widely clinical value. |
| KEY WORDS Surgical procedures,minimally invasive Osteotomy Hallux valgus Abnormalities |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李静,谢鸣,勘武生,李鲲,方真华,黄若昆,赵晶晶.微创截骨治疗拇外翻合并小趾囊炎[J].中国骨伤,2011,24(8):648~651 |
| 英文格式: | LI Jing,XIE Ming,KAN Wu-sheng,LI Kun,FANG Zhen-hua,HUANG Ruo-kun,ZHAO Jing-jing.Clinical investigation of the minimal invasive osteotomy for the treatment of hallux valgus combined with tailor's bunion[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(8):648~651 |
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