关节镜辅助微创治疗拇囊炎的疗效分析
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作者Author单位AddressE-Mail
李宏亮 LI Hong-liang 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
李淑媛 LI Shu-yuan 首都医科大学附属北京同仁医院足踝外科, 北京 100730  
齐玮 QI Wei 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
李春宝 LI Chun-bao 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
曲峰 QU Feng 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
郭旗 GUO Qi 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
肇刚 ZHAO Gang 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
陆兮 LU Xi 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
刘玉杰 LIU Yu-jie 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China liuyujie301@163.com 
朱娟丽 ZHU Juan-li 解放军总医院骨科, 北京 100853 Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China  
期刊信息:《中国骨伤》2016年,第29卷,第2期,第138-141页
DOI:10.3969/j.issn.1003-0034.2016.02.010
基金项目:
中文摘要:

目的:评估关节镜微创治疗拇外翻拇囊炎的疗效.

方法:2008年7月至2011年7月关节镜辅助下治疗拇外翻拇囊炎共50例(53足),平均年龄42.3岁(30~65)岁;左侧19例,右侧28例,双侧3例.采用美国足踝外科(AOFAS)拇跖趾关节-趾间关节(MP-IP)评分系统对手术前后功能进行评价.

结果:术后患者切口均Ⅰ期愈合,无拇内翻及僵硬,无血管神经损伤等并发症.AOFAS评分由术前62.19±6.01提高到术后88.26±6.81.

结论:关节镜辅助下治疗拇外翻拇囊炎,具有创伤小、并发症少、有利于早期功能锻炼等优点.
【关键词】关节镜  跖趾关节  拇外翻  外科手术,微创性
 
Clinical effect of arthroscopy-assisted minimally invasive management of bunion
ABSTRACT  

Objective:To evaluate the effect of arthroscopy-assisted minimally invasive management of bunion and hallux valgus deformities.

Methods:Total 50 patients(53 feet) with bunion and hallux valgus deformities were treated under arthroscopy from July 2008 to July 2011,with an average age of 42.3 years old(ranging from 30 to 65 years old) involving 19 left feet,28 right feet and 3 both feet. The American Orthopedic Foot and Ankle Society(AOFAS) hallux metatarsophalangeal-interphalangeal(MP-IP) Scale Score was used to evaluate the therapeutic effect.

Results:There were no complications such as hallux varus,hallux rigid and nerve or blood vessel injury. Clinically,AOFAS MP-IP Scale Score was increased from 62.19±6.01 preoperatively to 88.26±6.81 postoperatively.

Conclusion:Arthroscopy-assisted minimally invasive management appears to be a good procedure with advantages of less complication,little trauma and early rehabilitation for bunion and hallux valugs deformities.
KEY WORDS  Arthroscopes  Metatarsophalangeal joint  Hallux valgus  Surgical procedures,minimally invasive
 
引用本文,请按以下格式著录参考文献:
中文格式:李宏亮,李淑媛,齐玮,李春宝,曲峰,郭旗,肇刚,陆兮,刘玉杰,朱娟丽.关节镜辅助微创治疗拇囊炎的疗效分析[J].中国骨伤,2016,29(2):138~141
英文格式:LI Hong-liang,LI Shu-yuan,QI Wei,LI Chun-bao,QU Feng,GUO Qi,ZHAO Gang,LU Xi,LIU Yu-jie,ZHU Juan-li.Clinical effect of arthroscopy-assisted minimally invasive management of bunion[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(2):138~141
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