摘要
目的:分析掌骨锁定钢板在拇外翻第一跖趾关节融合术中的应用效果。方法:回顾性分析瑞金市人民医院2019年5月—2021年5月收治的30例中重度拇外翻患者的病历资料,根据手术方案分为对照组与研究组,每组15例。对照组应用传统跖趾关节融合钢板治疗,研究组应用掌骨锁定钢板治疗。比较两组术前及末次随访的拇外翻角(hallux valgus angle,HVA)、跖骨间角(inter metatarsal angle,IMA)、美国矫形足踝协会前足功能评分(American orthopedic foot and ankle society,AOFAS)及视觉模拟评分法(visual analogue scale,VAS)评分;比较两组不良反应发生情况。结果:两组术后VAS评分、AOFAS评分、HVA及IMA均优于术前(P<0.05);研究组术后VAS、AOFAS评分及HVA、IMA均优于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率虽低于对照组,但差异无统计学意义(χ^(2)=0.745,P>0.05)。结论:在中重度拇外翻患者行第一跖趾关节融合术中,应用掌骨锁定钢板在临床疗效上更优于传统钢板治疗,有助于促进骨的结构和功能恢复。
Objective:To analyze the effect of metacarpal locking plate in the first metatarsophalangeal joint fusion of hallux valgus.Method:The medical records of 30 patients with moderate severity hallux valgus admitted to Ruijin People's Hospital from May 2019 to May 2021 were retrospectively analyzed,and they were divided into control group and study group according to the surgical plan,with 15 cases in each group.The control group was treated with traditional metatarsophalangeal fusion plate,and the study group was treated with metacarpal locking plate.The hallux valgus angle(HVA),inter metatarsal angle(IMA),American orthopedic foot and ankle society(AOFAS)and visual analogue scale(VAS)scores were compared between the two groups before surgery and the last follow-up.The occurrence of adverse reactions was compared between the two groups.Result:The postoperative VAS scores,AOFAS scores,HVA,and IMA of the two groups were significantly better than those before operation(P<0.05).The postoperative VAS score,AOFAS score,HVA and IMA of the study group were better than those of the control group,the differences were statistically significant(P<0.05).The complication rate in the study group was lower than that in the control group,but the difference was not statistically significant(χ^(2)=0.745,P>0.05).Conclusion:In the first metatarsophalangeal joint fusion in patients with moderate severity hallux valgus,the application of metacarpal locking plate is more effective than the traditional plate treatment,which helps to promote the structural and functional recovery of bone.
作者
黄立
朱慧君
胡国华
HUANG Li;ZHU Huijun;HU Guohua(Department of Orthopedics,Ruijin People's Hospital,Ruijin 342500,China;不详)
出处
《中国医学创新》
CAS
2024年第11期108-112,共5页
Medical Innovation of China
基金
江西省卫生健康委科技项目(202212581)
赣州市指导性科技计划项目(GZ2021ZSF729)。
关键词
掌骨锁定钢板
拇外翻
跖趾关节融合术
Metacarpal locking plate
Hallux valgus
Metatarsophalangeal joint fusion
