[1]梁家畅,管华,冯恩辉,等.距下关节制动术治疗青少年平足症的中期临床研究[J].中国中医骨伤科杂志,2025,33(08):37-42.[doi:10.20085/j.cnki.issn1005-0205.250807]
　LIANG Jiachang,GUAN Hua,FENG Enhui,et al.The Mid-Term Clinical Efficacy and Safety of HyProCure Subtalar Joint Brake for the Treatment of Adolescent Flexible Flatfoot[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(08):37-42.[doi:10.20085/j.cnki.issn1005-0205.250807]
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距下关节制动术治疗青少年平足症的中期临床研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年08期
页码:
37-42
栏目:
临床研究
出版日期:
2025-08-15

文章信息/Info

Title:
The Mid-Term Clinical Efficacy and Safety of HyProCure Subtalar Joint Brake for the Treatment of Adolescent Flexible Flatfoot
文章编号:
1005-0205(2025)08-0037-06
作者:
梁家畅1; 管华1; 冯恩辉1; 陈谱1; 何剑波1; 黄伟明1; 许一吟1; 谢杰伟1△
1广东省中医院(广州,510120)
Author(s):
LIANG Jiachang1; GUAN Hua1; FENG Enhui1; CHEN Pu1; HE Jianbo1; HUANG Weiming1; XU Yiyin1; XIE Jiewei1△
1Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China.
关键词:
青少年柔性扁平足;  距下关节制动器;  中期临床疗效
Keywords:
adolescent flexible flatfoot;  subtalar joint brakes;  mid-term clinical outcomes
分类号:
R687.1
DOI:
10.20085/j.cnki.issn1005-0205.250807
文献标志码:
A
摘要:
目的:探讨HyProCure距下关节制动器治疗青少年柔性平足的中期临床疗效及安全性。方法:收集2018年6月至2022年1月使用HyProCure距下关节制动器治疗青少年柔性平足患者的临床资料,评估患者治疗前、治疗后及取出HyProCure距下关节制动器的美国矫形外科足踝协会(AOFAS)评分、视觉模拟量表(VAS)评分、影像学资料改变(负重正位X线片的距舟覆盖角(TCA)、负重侧位X线片的距骨第一跖骨角(Meary角)、跟骨倾斜角(Pitch角)、跟骨距骨角(Kite角)、后足力线Saltzman位片的跟骨外翻角(CVA))以及术后并发症等情况。结果:共纳入患者15例(28足),其中男6例(12足),女9例(16足)。随访时间为36～51个月(平均随访43.61个月),置入距下关节制动器年龄为8～13岁(平均年龄为10.46岁),取出距下关节制动器年龄为10～17岁(平均年龄为13.25岁)。末次随访时,患者的AOFAS评分及Pitch角均高于治疗前,差异有统计学意义(P<0.05),VAS评分、Meary角、距舟覆盖角、Kite角、CVA均低于治疗前,差异有统计学意义(P<0.05)。结论:距下关节制动术治疗青少年柔性平足的临床效果显著,可明显改善疼痛及功能恢复,具有微创、并发症少等优点。且通过生物力学重塑与软组织平衡,能够在取出距下关节制动器后维持足弓形态及生理力线。
Abstract:
Objective:To explore the mid-term clinical efficacy and safety of HyProCure subtalar joint brake for the treatment of adolescent flexible flatfoot.Methods:Clinical data of patients treated with HyProCure for adolescent flexible flatfoot from June 2018 to January 2022 were collected,and the American Orthopaedic Foot and Ankle Society(AOFAS)scores,visual analogue scale(VAS)scores,talonavicular coverage angles(TCAs)on weight-bearing orthopaedic radiographs,Meary angle,Pitch angle,Kite angle,talonavicular coverage angle(TCA)on weight-bearing orthopedic radiographs,calcaneal valgus angle(CVA)on weight-bearing lateral radiographs,and postoperative complications.Results:A total of 15 patients(28 feet)were included,including 6 males(12 feet)and 9 females(16 feet).The follow-up period was 3651 months(mean follow-up 43.61 months),the age of insertion of the talar joint brake was 813 years old(mean age 10.46 years old),and the age of removal of the talar joint brake was 1017 years old(mean age 13.25 years old).At the final follow-up,the patients' AOFAS score and Pitch angle were higher than before treatment,and the difference was statistically significant(P<0.05),while the VAS score,Meary angle,TCA,Kite angle,and CVA were lower than before treatment,and the difference was statistically significant(P<0.05).Conclusion:The clinical effect of subtalar arthrodesis in the treatment of adolescent flexible flatfoot is remarkable,which can significantly improve pain and functional recovery,and has the advantages of minimally invasive and few complications.Through biomechanical remodeling and soft tissue balancing,it is possible to maintain the arch shape and physiological lines of force after removal of the talar joint brake.

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备注/Memo

备注/Memo:
基金项目:广东省中医院中医药科学技术研究拔尖人才专项项目(BJ2022YL13)
广东省软科学研究计划项目(2020A1414040031)
2023年度广州市基础与应用基础研究专题项目(2023A04J0462)
△通信作者 E-mail:gdszyycszhk@163.com
更新日期/Last Update: 2025-08-15