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[1]畢春強,溫建民,桑志成,等.外翻截骨矯形“裹簾”法外固定后截骨端穩(wěn)定性的X線研究[J].中醫(yī)正骨,2016,28(03):5-8.
　BI Chunqiang,WEN Jianmin,SANG Zhicheng,et al.X-ray study of the stability of osteotomy site after osteotomy and external fixation based on concept of“wrapped curtain”for treatment of hallux valgus[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(03):5-8.
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外翻截骨矯形“裹簾”法外固定后截骨端穩(wěn)定性的X線研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年03期
頁碼:
5-8
欄目:
骨科微創(chuàng)技術(shù)
出版日期:
2016-03-20

文章信息/Info

Title:
X-ray study of the stability of osteotomy site after osteotomy and external fixation based on concept of“wrapped curtain”for treatment of hallux valgus
作者:
畢春強; 溫建民; 桑志成; 孫衛(wèi)東; 溫冠楠; 林新曉; 孫永生; 梁朝; 蔣科衛(wèi);  程桯; 胡海威; 吳夏勃; 王朝魯; 荀淑英; 常程
中國中醫(yī)科學(xué)院望京醫(yī)院,北京 100102
Author(s):
BI Chunqiang; WEN Jianmin; SANG Zhicheng; SUN Weidong; WEN Guannan; LIN Xinxiao; SUN Yongsheng; LIANG Zhao; JIANG Kewei; CHENG Ting; HU Haiwei;  WU Xiabo; WANG Chaolu; XUN Shuying; CHANG Cheng
Wangjing Hospital of China Academy Of Chinese Medical Sciences,Beijing 100102,China
關(guān)鍵詞:
外翻;  骨折固定術(shù);  截骨術(shù);  繃帶;  穩(wěn)定性
Keywords:
hallux valgus;  fracture fixation;  osteotomy;  bandages;  stability
摘要:
目的:觀察外翻截骨矯形“裹簾”法外固定后截骨端的穩(wěn)定性。方法:回顧性分析2014年11月至2015年3月在望京醫(yī)院就診的63例(120足)外翻患者的病例資料。均采用中西醫(yī)結(jié)合微創(chuàng)技術(shù)截骨矯形,術(shù)后采用基于“裹簾”法理念設(shè)計的“8”字繃帶和分趾墊外固定。在其術(shù)后即刻、2周、6周、12周拍攝的患足負(fù)重正側(cè)位X線片上測量截骨端的角度變化(α、β)和位移(M、N),同時觀察截骨端愈合情況。結(jié)果:本組患者患足趾固定后不同時間點的角α及距離M比較,差異均無統(tǒng)計學(xué)意義[(7.30°±1.57°),(7.25°±1.62°),(7.38°±1.66°),(7.32°±1.43°),F=1.005,P=0.390;(10.51±2.22)mm,(10.62±2.15)mm,(10.49±2.93)mm,(10.56±2.08)mm,F=0.389,P=0.761]; 不同時間點間的角β及距離N比較,差異均有統(tǒng)計學(xué)意義[(13.00°±3.97°),(12.80°±3.85°),(12.63°±3.85°),(12.67°±4.03°),F=2.958,P=0.032;(10.93±1.44)mm,(10.79±1.63)mm,(10.73±1.62)mm,(10.63±1.49)mm,F=2.685,P=0.047]; 角β及距離N于不同時間點間兩兩比較,差異均無統(tǒng)計學(xué)意義。術(shù)后12周時所有截骨端均達(dá)到骨折臨床愈合標(biāo)準(zhǔn)。結(jié)論:外翻截骨矯形術(shù)后以基于“裹簾”法理念設(shè)計的“8”字繃帶和分趾墊外固定,可以維持截骨端相對穩(wěn)定。
Abstract:
Objective:To observe the stability of osteotomy site after osteotomy and external fixation based on concept of“wrapped curtain”for treatment of hallux valgus.Methods:The medical records of 63 patients(120 feet)with hallux valgus who were treated in Wangjing Hospital from November 2014 to March 2015 were analyzed retrospectively.The patients were treated with minimally invasive osteotomy under the guidance of integrated Chinese and Western medicines theory and postoperative external fixation with figure-of-eight bandages and digital pads based on the design concept of“wrapped curtain”.The angles(α,β)and displacement(M,N)of osteotomy sites of the affected feet were measured on weight-bearing anteroposterior and lateral x-ray films taken immediately post-operatively and at 2,6 and 12 weeks after the surgery respectively.Meanwhile the healing of osteotomy sites were observed.Results:There was no statistical difference in the angle α and distance M between different time points after fixation of hallux of affected feet(7.30+/-1.57,7.25+/-1.62,7.38+/-1.66,7.32+/-1.43 degrees,F=1.005,P=0.390; 10.51+/-2.22,10.62+/-2.15,10.49+/-2.93,10.56+/-2.08 mm,F=0.389,P=0.761).There was statistical difference in the angle β and distance N between different time points(13.00+/-3.97,12.80+/-3.85,12.63+/-3.85,12.67+/-4.03 degrees,F=2.958,P=0.032; 10.93+/-1.44,10.79+/-1.63,10.73+/-1.62,10.63+/-1.49 mm,F=2.685,P=0.047).There was no statistical difference in the angle β and distance N between the paired time points.All of the osteotomy sites got clinical healing at the 12 weeks after the surgery.Conclusion:The relative stabilization of osteotomy sites can be obtained through external fixation with figure-of-eight bandages and digital pads based on the design concept of“wrapped curtain”after osteotomy for treatment of hallux valgus.

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備注/Memo

備注/Memo:
基金項目:國家自然科學(xué)基金項目(81273984)
通訊作者:溫建民 E-mail:[email protected]
更新日期/Last Update: 2016-03-30