摘要
目的探讨关节融合术治疗重度趵僵硬的临床疗效。方法回顾性分析2010年1月-2013年1月经关节融合术治疗的重度（母）僵硬患者30例（30足），采用AOFAS、VAS评分系统评价临床疗效，获得融合率、融合时间及跑外翻发生率。测量手术前后第1～5跖骨头下压力分布改变情况。结果平均随访时间18个月，术后患者AOFAS评分、VAS评分高于术前（72．8±6．2 vs 48．2±7．6，8．3±1．1 vs 1．7±0．7，均P〈0．01）；融合部位平均愈合时间为12．1周，未出现融合失败及躅外翻畸形。第1～5跖骨头下压力分布较术前由异常外侧分布向正常负重分布恢复。结论关节融合术可有效治疗重度躅僵硬，解除疼痛症状，恢复前足底压力分布，并发症少。
Objective To observe the clinical effect of arthrodesis in treating severe hallux rigidus. Methods Totally 30 patients （30 feet） with severe hallux rigidus treated by arthrodesis from January in 2010 to January in 2013 were retrospec- tively analyzed. AOFAS and VAS scoring system were employed to evaluate the clinical curative effect including acquiring the fusion rate, the time to fusion and the incidence rate of hallux valgus. Forefoot-plantar pressure values before and after operation were measured by Plantar pressure measurement system. Results The mean follow-up time was 18 months. AO- FAS score was raised from （48.2±7.6） to （72.8±6.2） after operation （P 〈 0.01）. VAS score was also increased from （1.7±0.7） to （8.3± 1.1） after operation （P 〈 0.01）. The average healing time of knitting was 12.1 weeks. None was non-union and devel- oped to hallux valgus. The forefoot-plantar pressure returned to normal postoperatively from abnormal laterally distribution.Conclusion The surgical strategy of arthrodesis is proved to be effective in treating severe hallux rigidus, in terms of capa- bility of relief from pain, recovery of forefoot-plantar pressure distribution, low incidence of complication.
出处
《天津医药》
CAS
2015年第3期308-310,I0005,共4页
Tianjin Medical Journal
关键词
跨僵硬
关节融合术
转移性跖痛
足底压力
hallux rigidus
arthrodesis
transfer metatarsalgia
plantar pressure
