摘要
目的评估发育性髋关节发育不良(developmental dysplasia of the hip,DDH)患儿手术前后足底压力分布及平衡功能的变化情况。方法收集2013年6月至2017年6月我院收治的经手术治疗的25例DDH患儿术前及术后资料。其中男性12例,女性13例;年龄4.5~9.3岁,平均(7.1±2.5)岁。采用Zebris FDM(德国)系统评估患儿的足底压力及平衡情况。评估平衡功能的参数包括椭圆摇摆区域面积、压力中心路径长度及压力中心平均移动速度。通过术前及术后的参数对比,分析DDH患儿术后足底压力分布及平衡功能的改变。结果患者术后1年双侧足底压力分布较术前更均匀,与术前相比差异有统计学意义(P<0.05)。术后1年代表身体平衡功能的3个参数较术前有明显改善,差异有统计学意义(P<0.05)。结论DDH患儿行切开复位、骨盆截骨手术,术后的足底压力分布较术前更均匀,而身体平衡功能较术前有显著改善。
Objective To evaluate the changes of the pressure distribution and balance of the plantar pressure before and after the operation of the DDH children.Methods From June 2013 to June 2017,25 cases of DDH children treated injishuitanhospital were collected before and after the operation.There were 12 males and 13 females,anged from 4.5~9.3 years,with an average age of(7.1±2.5)years.The plantar pressure and balance of the children were assessed using the Zebra FDM(Germany)system.The parameters for the evaluation balance included the ellipse sway area,the pressure center path length,and the average moving speed of the pressure center.The changes of plantar pressure distribution and balance in children with DDH after operation were analyzed by comparing the parameters before and after operation.Results The pressure distribution of the bilateral plantar pressure was more uniform in one year after the operation,and the difference was statistically significant(P<0.05).The 3 parameters representing the body balance were significantly improved in one year after the operation,and the difference was statistically significant(P<0.05).Conclusion For DDH children underwent open reduction and pelvic osteotomy,the pressure distribution of the plantar pressure after operation is more uniform than thatbefore operation,and the balance of the body is significantly improved after the operation.
作者
孙洁
王楠
李燕华
Sun Jie;Wang Nan;Li Yanhua(Department of Pediatric Orthopaedics,Beijing Jishuitan Hospital,Beijing 100035,China)
出处
《实用骨科杂志》
2021年第1期37-39,共3页
Journal of Practical Orthopaedics
关键词
发育性髋关节发育不良
足底压力分布
平衡参数
developmental dysplasia of the hip
pressure distribution of the plantar
balance function
