[1]毕春强,温建民,桑志成,等.外翻截骨矫形“裹帘”法外固定后截骨端稳定性的X线研究[J].中医正骨,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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外翻截骨矫形“裹帘”法外固定后截骨端稳定性的X线研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年03期
页码:
5-8
栏目:
骨科微创技术
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:
毕春强; 温建民; 桑志成; 孙卫东; 温冠楠; 林新晓; 孙永生; 梁朝; 蒋科卫;  程桯; 胡海威; 吴夏勃; 王朝鲁; 荀淑英; 常程
中国中医科学院望京医院,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
关键词:
外翻;  骨折固定术;  截骨术;  绷带;  稳定性
Keywords:
hallux valgus;  fracture fixation;  osteotomy;  bandages;  stability
摘要:
目的:观察外翻截骨矫形“裹帘”法外固定后截骨端的稳定性。方法:回顾性分析2014年11月至2015年3月在望京医院就诊的63例(120足)外翻患者的病例资料。均采用中西医结合微创技术截骨矫形,术后采用基于“裹帘”法理念设计的“8”字绷带和分趾垫外固定。在其术后即刻、2周、6周、12周拍摄的患足负重正侧位X线片上测量截骨端的角度变化(α、β)和位移(M、N),同时观察截骨端愈合情况。结果:本组患者患足趾固定后不同时间点的角α及距离M比较,差异均无统计学意义[(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]; 不同时间点间的角β及距离N比较,差异均有统计学意义[(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及距离N于不同时间点间两两比较,差异均无统计学意义。术后12周时所有截骨端均达到骨折临床愈合标准。结论:外翻截骨矫形术后以基于“裹帘”法理念设计的“8”字绷带和分趾垫外固定,可以维持截骨端相对稳定。
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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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81273984)
通讯作者:温建民 E-mail:wjm5734@263.net
更新日期/Last Update: 2016-03-30