本文選題：跗骨竇　切入點(diǎn)：HyProCure螺釘　出處：《中國(guó)矯形外科雜志》2017年11期 　論文類(lèi)型：期刊論文

【摘要】：[目的]評(píng)價(jià)經(jīng)跗骨竇Hy Pro Cure螺釘?shù)木嘞玛P(guān)節(jié)制動(dòng)術(shù)治療兒童柔韌性平足癥的短期臨床療效。[方法]采用經(jīng)跗骨竇Hy Pro Cure螺釘?shù)木嘞玛P(guān)節(jié)制動(dòng)術(shù)治療兒童柔韌性平足癥16例(19足)。對(duì)照比較術(shù)前、術(shù)后正位X線片上的距舟覆蓋角,側(cè)位X線片上的距骨第1跖骨角、跟骨傾斜角變化;并采用美國(guó)足踝外科協(xié)會(huì)(American Orthopedic Foot and Ankle Society,AOFAS)踝與后足功能評(píng)分和視覺(jué)模擬評(píng)分(visual analogue score,VAS)進(jìn)行療效評(píng)定。[結(jié)果]16例(19足)患兒均獲隨訪,平均隨訪時(shí)間6.70個(gè)月(3.50~12月)。正位X線片上的距舟覆蓋角;側(cè)位X線片上的距骨第1跖骨角(Meary角)、跟骨傾斜角(Pitch角)均較術(shù)前改善(P0.05)。末次隨訪時(shí)AOFAS評(píng)分及VAS評(píng)分與術(shù)前比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。[結(jié)論]經(jīng)跗骨竇Hy Pro Cure螺釘?shù)木嘞玛P(guān)節(jié)制動(dòng)術(shù)是治療兒童柔韌性平足的有效方法,具有簡(jiǎn)單、創(chuàng)傷小、術(shù)后并發(fā)癥少等優(yōu)點(diǎn),但還需長(zhǎng)期隨訪觀察遠(yuǎn)期療效。
[Abstract]:[objective] to evaluate the short-term clinical effect of subtalar joint immobilization with Hy Pro Cure screw through tarsal sinus in the treatment of children with pliable flat foot. [methods] to treat children's flexibility with Hy Pro Cure screw through tarsal sinus. There were 16 cases of pteropod syndrome with 19 feet. The angle of the first metatarsal and the oblique angle of the calcaneus on the lateral radiographs were changed. The therapeutic effects were evaluated by American Orthopedic Foot and Ankle Society-AOFASA (American Orthopedic Foot and Ankle Society-AOFASA) and visual analogue scorevas. [results] 16 patients with 19 feet were followed up. The mean follow-up time was 6.70 months from 3.50 to December. The angle of scaphoid overlay on the positive X-ray film, the angle of the first metatarsal angle of the talus on the lateral radiographs and the pitch angle of the inclined angle of calcaneus were all improved compared with the preoperative ones. The AOFAS score and the VAS score at the last follow-up were compared with those before the operation. The difference was statistically significant (P 0.05). [conclusion] Subtalar joint immobilization through Hy Pro Cure screw of tarsal sinus is an effective method for the treatment of children's flexibility, with the advantages of simple, less trauma, less postoperative complications, and so on. But long-term follow-up is needed to observe the long-term effect.
【作者單位】： 湖北醫(yī)藥學(xué)院附屬人民醫(yī)院骨關(guān)節(jié)外科;湖北醫(yī)藥學(xué)院附屬人民醫(yī)院顯微骨科;意大利佛羅倫薩衛(wèi)生署直屬San
【基金】：國(guó)家自然科學(xué)基金項(xiàng)目(編號(hào):81602867) 湖北省教育廳科研基金資助項(xiàng)目(編號(hào):B2016131)
【分類(lèi)號(hào)】：R726.8

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