[1]陶宝琛,杨凯,赵颖林,等.经皮微创截骨术联合“裹帘法”固定治疗重度外翻的临床研究[J].中国中医骨伤科杂志,2022,30(11):23-27.
　TAO Baochen,YANG Kai,ZHAO Yinglin,et al.Clinical Study of Percutaneous Minimally Invasive Osteotomy Combined with “Wrapped Curtain Method” Fixation on the Treatment of Severe Hallux Valgus[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(11):23-27.
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经皮微创截骨术联合“裹帘法”固定治疗重度外翻的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年11期
页码:
23-27
栏目:
临床研究
出版日期:
2022-11-15

文章信息/Info

Title:
Clinical Study of Percutaneous Minimally Invasive Osteotomy Combined with “Wrapped Curtain Method” Fixation on the Treatment of Severe Hallux Valgus
文章编号:
1005-0205(2022)11-0023-05
作者:
陶宝琛1; 杨凯2; 赵颖林1; 宋铁兵1△; 赵军1; 种文强1
1西安市中医医院(西安,710021) 2陕西中医药大学
Author(s):
TAO Baochen1; YANG Kai2; ZHAO Yinglin1; SONG Tiebing1△; ZHAO Jun1; CHONG Wenqiang1
1Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710021,China; 2Shaanxi University of Chinese Medicine,Xianyang 712046, Shaanxi China.
关键词:
经皮微创截骨术;  裹帘法;  外翻;  微创疗法
Keywords:
percutaneous minimally invasive osteotomy;  Wrapped Curtain Method;  hallux valgus;  minimally invasive treatment
分类号:
R682.1
文献标志码:
A
摘要:
目的:观察经皮微创截骨术联合“裹帘法”固定治疗重度外翻的临床疗效。方法:2019年8月至2021年1月,采用经皮微创截骨术联合“裹帘法”治疗重度外翻患者20例(30足)。手术前后拍摄负重位X线片测量患足外翻角(Hallux Valgus Angle,HVA),第一、二跖骨间角(Inter Metatarsal Angle,IMA),跖骨跨度(第一和第五跖骨头之间的距离),软组织宽度(软组织轮廓的最大距离),美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝-后足评分标准评分,视觉模拟量表(VAS)疼痛评分。结果:20例患者得到有效随访,随访时间为6个月,患者第一跖骨截骨处均骨性愈合,足趾外观畸形得到纠正,术后患足未出现跖骨头缺血性坏死、转移性跖骨痛等并发症。通过术前、术后自身对照分析,HVA、IMA、跖骨跨度、软组织宽度较术前显著减小,AOFAS评分较术前增高,VAS评分较术前降低,差异均有统计学意义(P<0.01)。结论:经皮微创截骨术联合“裹帘法”固定治疗重度外翻能够较好地纠正足部外翻畸形,术中损伤小,操作简便,术后功能恢复良好,临床疗效显著。
Abstract:
Objective:To observe the clinical efficacy of percutaneous minimally invasive osteotomy combined with “Wrapped Curtain Method” fixation on the treatment of severe hallux valgus.Methods:20 patients(30 feet)with severe hallux valgus were treated with percutaneous minimally invasive osteotomy from August 2019 to January 2021.Weight-bearing position X-ray of the affected feet was taken to measure the hallux valgus angle(HVA),the first and second intermetatarsal angle(IMA),the distance between first and fifth metatarsal bones and maximum distance for soft tissue contours before and after operation.American Orthopaedic Foot and Ankle Society(AOFAS)scores and Visual Analogue Scale(VAS)scores were collected pre-operation and post-operation.Results:The follow-up was 6 months and 20 patients were followed up effectively.The first metatarsal osteotomy of the patients developed bone union.The deformity of the toes was corrected.Complications such as avascular necrosis of metatarsal head and transfer metatarsalgia were not detected post-operation.HVA,IMA,metatarsal span,and soft tissue width were significantly reduced compared with that of pre-operation.The AOFAS scores were higher and the VAS scores were lower than that of pre-operation.The differences were statistically significant(P<0.01).Conclusion:Percutaneous minimally invasive osteotomy combined with “Wrapped Curtain Method” fixation on the treatment of severe hallux valgus can better correct the deformity of the hallux valgus with easy operation.It has minimal intraoperative injury,good postoperative functional recovery and significant clinical efficacy.

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备注/Memo

备注/Memo:
基金项目:西安市中医药管理局项目(SZL202019)西安市科学技术协会青年人才托举计划项目(095920221316) △通信作者 E-mail:398279691@qq.com
更新日期/Last Update: 2022-11-10