| 韩康 卞娜 高浩然 高全友 薛为高 付友兰.小切口改良Mc Bride矫形术治疗足踇外翻畸形的临床疗效观察[J].,2015,15(22):4272-4275 |
| 小切口改良Mc Bride矫形术治疗足踇外翻畸形的临床疗效观察 |
| Observation on the Clinical Efficacy of Modified McBride Orthomorphiawith Small Incision in the Treatment of Hallusx Valgus |
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| DOI： |
| 中文关键词: 踇外翻 改良Mc Bride 矫形术 疼痛 小切口 疗效 |
| 英文关键词: Hallux valgus Modified McBride Orthomorphia Pain Small incision Efficacy |
| 基金项目:国家自然科学基金项目(81201633) |
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| 中文摘要: |
| 目的：评估和总结使用小切口改良Mc Bride 矫形术治疗足踇外翻畸形的临床疗效。方法：选择2010-2014 年我院收治的明确
诊断为踇外翻畸形的104 例患者，所有患者均行小切口改良Mc Bride 矫形术，观察和比较患者手术前和手术后3 周、6 个月时的
VAS 疼痛评分、踇外翻角测量(HVA)、跖骨间角测量(IMA)及足踝AOFAS 评分。结果：所有患者均至少随访至术后6 月，优良率为
96.2%，患者术后3 周、6 月VAS 评分、HVA与IMA 的角度、AOFAS 评分均较术前均明显改善，差异均具有统计学意义(P<0.05)。
仅3 例患者在术后6 个月时畸形复发，6 例出现足部轻度疼痛，1 例出现切口延迟愈合，余无明显并发症出现。结论：小切口改良
Mc Bride 矫形术能够有效纠正踇外翻畸形，并减轻患者的疼痛。 |
| 英文摘要: |
| Objective:To evaluate the clinical efficacy of modified McBride orthomorphia with small incision in the treatment of
Hallusx Valgus.Methods:104 patients who were admitted in our hospital from 2010 to 2014 and diagnosed as Hallusx Valgus were
cured by modified mcBride orthomorphia. The clinical efficacy was evaluated by visual analogue scale (VAS), the changes of hallus
valgus angle(HVA) and intermetatarsal angle(IMA) and Ankle Society score(AOFAS) at reoperation, 3 weeks after surgery and 6 weeks
after surgery.Results:All the patients were followed up at least 6 months after the operation and the excellent rate was 96.2%. The
postoperative VAS score, hallus valgus angle and Ankle Society score at 3 weeks after surgery were obviously improved compared with
those preoperation (P<0.05). Only three patients had recurrence at 6 months after surgery, 6 patients had mild pain of foot and 1 case had
delayed healing of incision.Conclusion:Modified McBride orthomorphia with small incision could effectivly correct the foot hallux
valgus deformity and relieve the pain due to this disease. |
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