84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]徐善強,張宇,張文舉,等.HyProCure跗骨竇螺釘內(nèi)固定治療青少年柔性扁平足[J].中醫(yī)正骨,2023,35(02):73-76.
點擊復(fù)制

HyProCure跗骨竇螺釘內(nèi)固定治療青少年柔性扁平足()
分享到:

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年02期
頁碼:
73-76
欄目:
臨床報道
出版日期:
2023-02-20

文章信息/Info

作者:
徐善強張宇張文舉李平王勇何凱元
(四川省骨科醫(yī)院,四川 成都 610041)
關(guān)鍵詞:
扁平足 青少年 跗骨竇 距下關(guān)節(jié)制動術(shù)
摘要:
目的:觀察HyProCure跗骨竇螺釘內(nèi)固定治療青少年柔性扁平足的臨床療效和安全性。方法:2017年1月至2019年1月,采用HyProCure跗骨竇螺釘內(nèi)固定治療青少年柔性扁平足患者30例。男18例36足,女12例24足。年齡8~12歲,中位數(shù)10歲。所有患者均表現(xiàn)為足弓塌陷并長期伴有足內(nèi)側(cè)疼痛,經(jīng)沖擊波及穿戴足墊等非手術(shù)療法治療后效果不佳。病程12~36個月,中位數(shù)22個月。術(shù)后隨訪觀察切口愈合、畸形矯正、足部疼痛改善、足功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時間12~36個月,中位數(shù)20個月。切口均甲級愈合。末次隨訪時,30例患者的距骨-第1跖骨角、距骨-第2跖骨角、距舟覆蓋角、距骨-跟骨角、距骨傾斜角、跟骨外翻角小于術(shù)前(17.8°±1.6°,6.5°±1.8°,t=9.613,P=0.003; 23.6°±1.9°,11.9°±1.4°,t=11.102,P=0.004; 17.8°±2.1°,10.1°±0.5°,t=10.904,P=0.008; 12.9°±3.6°,4.1°±1.8°,t=6.213,P=0.009; 36.1°±4.8°,22.9°±2.8°,t=7.809,P=0.002; 12.1°±2.4°,4.3°±0.7°,t=3.104,P=0.032),跟骨傾斜角大于術(shù)前(12.5°±1.9°,22.8°±2.3°,t=6.811,P=0.041),足部疼痛視覺模擬量表評分低于術(shù)前[(5.6±0.4)分,(1.2±0.1)分,t=11.212,P=0.009],美國足踝外科協(xié)會踝與后足功能評分高于術(shù)前[(47.6±9.8)分,(88.6±2.7)分,t=-21.511,P=0.008]。均無感染、血腫、神經(jīng)損傷、螺釘脫出等并發(fā)癥發(fā)生。結(jié)論:采用HyProCure跗骨竇螺釘內(nèi)固定治療青少年柔性扁平足,能矯正足部畸形,緩解患者疼痛癥狀,改善足部功能,且并發(fā)癥少。

參考文獻/References:

[1] PAVONE V,VESCIO A,DI SILVESTRI C A,et al.Outcomes of the calcaneo-stop procedure for the treatment of juvenile flatfoot in young athletes[J].J Child Orthop,2018,12(6):582-589.
[2] VULCANO E,MACCARIO C,MYERSON M S.How to approach the pediatric flatfoot[J].World J Orthop,2016,7(1):1-7.
[3] BERNASCONI A,LINTZ F,SADILE F.The role of arthroereisis of the subtalar joint for flatfoot in children and adults[J].EFORT Open Rev,2017,2(11):438-446.
[4] MARTINELLI N,BIANCHI A,MARTINKEVICH P,et al.Return to sport activities after subtalar arthroereisis for correction of pediatric flexible flatfoot[J].J Pediatr Orthop B,2018,27(1):82-87.
[5] TOULLEC E.Adult flatfoot[J].Orthop Traumatol Surg Res,2015,101(1 Suppl):S11-17.
[6] MACAULAY A,NANDYALA S V,MILLER C P,et al.Potential for bias and the american orthopaedic foot and ankle society ankle-hindfoot scoring system[J].Foot Ankle Spec,2018,11(5):416-419.
[7] 吳剛,陳建文,王世隆,等.單純HyProCure跗骨螺釘治療青少年柔韌性平足合并痛性副舟骨[J].中國組織工程研究,2021,25(6):901-905.
[8] MARTINELLI N,BIANCHI A,MARTINKEVICH P,et al.Return to sport activities after subtalar arthroereisis for correction of pediatric flexible flatfoot[J].J Pediatr Orthop B,2018,27(1):82-87.
[9] PAVONE V,VESCIO A,CANAVESE F,et al.Effects of body weight on the clinical and radiological outcomes of children with flexible flatfeet managed with the ‘calcaneo-stop' procedure[J].J Pediatr Orthop B,2019,28(3):228-234.
[10] GRAHAM M E,JAWRANI N T,GOEL V K.Evaluating plantar fascia strain in hyperpronating cadaveric feet following an extra-osseous talotarsal stabilization procedure[J].J Foot Ankle Surg,2011,50(6):682-686.
[11] GRAHAM M E,JAWRANI N T,GOEL V K.Effect of extra-osseous talotarsal stabilization on posterior tibial nerve strain inhyperpronating feet:a cadaveric evaluation[J].J Foot Ankle Surg,2011,50(6):672-675.
[12] GRAHAM M E,JAWRANI N T,GOEL V K.Effect of extra-osseous talotarsal stabilization on posterior tibial tendon strain in hyperpronating feet[J].J Foot Ankle Surg,2011,50(6):676-681.
[13] DE PELLEGRIN M,MOHARAMZADEH D,STROBL W M,et al.Subtalar extra-articular screw arthroereisis(SESA)for the treatment of flexible flatfoot in children[J].J Child Orthop,2014,8(6):479-487.
[14] MEGREMIS P,MEGREMIS O.Arthroereisis for symptomatic flexible flatfoot deformity in young children: radiological assessment and short-term follow-up[J].J Foot Ankle Surg,2019,58(5):904-915.
[15] GIANNINI S,CADOSSI M,MAZZOTTI A,et al.Bioabsorbable calcaneo-stop implant for the treatment of flexible flatfoot:a retrospective cohort study at a minimum follow-up of 4 years[J].J Foot Ankle Surg,2017,56(4):776-782.
[16] BERNASCONI A,IERVOLINO C,D'ALTERIO R,et al.Midterm assessment of subtalar arthroereisis for correction of flexible flatfeet in children[J].Orthop Traumatol Surg Res,2020,106(1):185-191.
[17] CARAVAGGI P,LULLINI G,BERTI L,et al.Functional evaluation of bilateral subtalar arthroereisis for the correction of flexible flatfoot in children:1-year follow-up[J].Gait Posture,2018,64:152-158.
[18] ELMARGHANY M,ABD EL-GHAFFAR T M,ELGEUSHY A,et al.Is subtalar extra articular screw arthroereisis(SESA)reducing pain and restoring medial longitudinal arch in children with flexible flat foot?[J].J Orthop,2020,20:147-153.
[19] MCCORMICK J J,JOHNSON J E.Medial column procedures in the correction of adult acquired flatfoot deformity[J].Foot Ankle Clin,2012,17(2):283-298.
[20] CICCHINELLI L D,PASCUAL HUERTA J,GARCÍA CARMONA F J,et al.Analysis of gastrocnemius recession and medial column procedures as adjuncts in arthroereisis for the correction of pediatric pes planovalgus:a radiographic retrospective study[J].J Foot Ankle Surg,2008,47(5):385-391.
[21] INDINO C,VILLAFAÑE J H,D'AMBROSI R,et al.Effectiveness of subtalar arthroereisis with endorthesis for pedia-tric flexible flat foot:a retrospective cross-sectional study with final follow up at skeletal maturity[J].Foot Ankle Surg,26(1):98-104.
[22] BERNASCONI A,LINTZ F,SADILE F.The role of arthroereisis of the subtalar joint for flatfoot in children and adults[J].EFORT Open Rev,2017,2(11): 438-446.
[23] BERNASCONI A,IERVOLINO C,D'ALTERIO R,et al.Midterm assessment of subtalar arthroereisis for correction of flexible flatfeet in children[J].Orthop Traumatol Surg Res,2020,106(1):185-191.
(收稿日期:2021-11-30 本文編輯:時紅磊)

相似文獻/References:

[1]王世龍,蘇紀權(quán),劉巖,等.手法復(fù)位聯(lián)合后路椎弓根螺釘系統(tǒng)內(nèi)固定治療 青少年特發(fā)性脊柱側(cè)凸[J].中醫(yī)正骨,2015,27(09):54.
[2]陳勁松,王建榜,嚴喜章,等.西安市中小學生脊柱側(cè)凸的流行病學調(diào)查[J].中醫(yī)正骨,2015,27(05):17.
 CHEN Jinsong,WANG Jianbang,YAN Xizhang,et al.Epidemiological investigation of scoliosis in primary and secondary school students in Xi'an[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):17.
[3]曹進,胡珊珊,鄭華江,等.閉合復(fù)位彈性髓內(nèi)釘內(nèi)固定與切開復(fù)位鎖定加壓鋼板 內(nèi)固定治療青少年肱骨干骨折的療效比較[J].中醫(yī)正骨,2015,27(01):9.
 CAO Jin,HU Shanshan,ZHENG Huajiang,et al.A clinical comparison of closed reduction and elastic stable intramedullary nail internal fixation versus open reduction and locking compression plate internal fixation for treatment of humeral shaft fractures in adolescents[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):9.
[4]趙仁歡,劉昕,鄧志強.切開復(fù)位空心螺釘內(nèi)固定術(shù)治療青少年髂前上棘撕脫骨折[J].中醫(yī)正骨,2016,28(04):44.
[5]李藝彬,朱勇,徐新強,等.關(guān)節(jié)鏡下分型治療兒童和青少年外側(cè)盤狀半月板損傷[J].中醫(yī)正骨,2017,29(03):52.
[6]劉艷,謝新立,杜彪,等.SPECT全身骨顯像在兒童和青少年腰痛診斷中的價值[J].中醫(yī)正骨,2017,29(04):42.
[7]王俊義,王巧迪.布巾鉗鉗夾復(fù)位經(jīng)皮克氏針內(nèi)固定術(shù)治療兒童和青少年閉合性鎖骨骨折[J].中醫(yī)正骨,2017,29(08):76.
[8]曹謙,曹慎,楊韻琴.GartlandⅢ型肱骨髁上骨折手法復(fù)位小夾板外固定治療后殘存單純前后移位對預(yù)后的影響[J].中醫(yī)正骨,2017,29(09):7.
 CAO Qian,CAO Shen,YANG Yunqin.Effect of posttreatment residual simple anterior-posterior displacement of broken end of fractured bone on prognosis in patients who receive manipulative reduction and small splint external fixation for Gartland typeⅢhumeral supracondylar fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(02):7.
[9]應(yīng)佳麗,沈嘉平.龍氏俯臥牽抖沖壓法治療青少年特發(fā)性脊柱側(cè)彎[J].中醫(yī)正骨,2018,30(03):64.
[10]李景虎,呂立江,唐成坤,等.非手術(shù)療法治療青少年腰椎間盤突出癥的研究進展[J].中醫(yī)正骨,2018,30(07):27.

備注/Memo

備注/Memo:
通訊作者:張宇 E-mail:[email protected]
更新日期/Last Update: 1900-01-01