[1]徐善强,张宇,张文举,等.HyProCure跗骨窦螺钉内固定治疗青少年柔性扁平足[J].中医正骨,2023,35(02):73-76.
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HyProCure跗骨窦螺钉内固定治疗青少年柔性扁平足()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年02期
页码:
73-76
栏目:
临床报道
出版日期:
2023-02-20

文章信息/Info

作者:
徐善强张宇张文举李平王勇何凯元
(四川省骨科医院,四川 成都 610041)
关键词:
扁平足 青少年 跗骨窦 距下关节制动术
摘要:
目的:观察HyProCure跗骨窦螺钉内固定治疗青少年柔性扁平足的临床疗效和安全性。方法:2017年1月至2019年1月,采用HyProCure跗骨窦螺钉内固定治疗青少年柔性扁平足患者30例。男18例36足,女12例24足。年龄8~12岁,中位数10岁。所有患者均表现为足弓塌陷并长期伴有足内侧疼痛,经冲击波及穿戴足垫等非手术疗法治疗后效果不佳。病程12~36个月,中位数22个月。术后随访观察切口愈合、畸形矫正、足部疼痛改善、足功能恢复及并发症发生情况。结果:所有患者均获随访,随访时间12~36个月,中位数20个月。切口均甲级愈合。末次随访时,30例患者的距骨-第1跖骨角、距骨-第2跖骨角、距舟覆盖角、距骨-跟骨角、距骨倾斜角、跟骨外翻角小于术前(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),跟骨倾斜角大于术前(12.5°±1.9°,22.8°±2.3°,t=6.811,P=0.041),足部疼痛视觉模拟量表评分低于术前[(5.6±0.4)分,(1.2±0.1)分,t=11.212,P=0.009],美国足踝外科协会踝与后足功能评分高于术前[(47.6±9.8)分,(88.6±2.7)分,t=-21.511,P=0.008]。均无感染、血肿、神经损伤、螺钉脱出等并发症发生。结论:采用HyProCure跗骨窦螺钉内固定治疗青少年柔性扁平足,能矫正足部畸形,缓解患者疼痛症状,改善足部功能,且并发症少。

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(收稿日期:2021-11-30 本文编辑:时红磊)

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更新日期/Last Update: 1900-01-01