| 跖骨即时延长术治疗先天性跖骨短小症 |
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摘要点击次数: 73
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投稿时间：2023-12-22
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| 作者 | Author | 单位 | Address | E-Mail |
| 邬博来 |
WU Bo-lai |
浙江中医药大学附属湖州中医院骨伤科, 浙江 湖州 313000 |
Department of Orthopaedics and Traumatology, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University, Huzhou 313000, Zhejiang, China |
934436168@qq.com |
| 王小军 |
WANG Xiao-jun |
浙江中医药大学附属湖州中医院骨伤科, 浙江 湖州 313000 |
Department of Orthopaedics and Traumatology, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University, Huzhou 313000, Zhejiang, China |
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| 马智敏 |
MA Zhi-min |
浙江中医药大学附属湖州中医院骨伤科, 浙江 湖州 313000 |
Department of Orthopaedics and Traumatology, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University, Huzhou 313000, Zhejiang, China |
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| 吴乐彬 |
WU Le-bin |
浙江中医药大学附属湖州中医院骨伤科, 浙江 湖州 313000 |
Department of Orthopaedics and Traumatology, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University, Huzhou 313000, Zhejiang, China |
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| 卢梓皓 |
LU Zi-hao |
浙江中医药大学附属湖州中医院骨伤科, 浙江 湖州 313000 |
Department of Orthopaedics and Traumatology, Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medicine University, Huzhou 313000, Zhejiang, China |
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| 期刊信息：《中国骨伤》2024年，第37卷，第12期，第1208-1212页 |
| DOI：10.12200/j.issn.1003-0034.20230136 |
| 基金项目: |
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中文摘要:
目的: 探讨跖骨即时延长术治疗先天性跖骨短小症的临床疗效。
方法: 自2015年3月至2020年12月,采用跖骨即时延长术治疗跖骨短小症患者7例,男1例,女6例;年龄18~30岁;病程10~20年;5例为单足跖骨短小,其中2例为右足第1、4跖骨短小,行第1、4跖骨即时延长术;2例为双足跖骨短小。分别于术前、术后12个月测量患足负重位X线片的短缩跖骨长度、正常跖骨应有长度、跖骨短缩距离及植骨处骨愈合情况;采用美国足踝外科医师协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与中足功能评分评价临床疗效,并观察其并发症情况。
结果: 7例获得随访,时间 12~24个月。所有跖骨都延长到满意的长度,植骨处完全愈合。跖骨长度、短缩距离分别由术前的3.55~5.90 cm、0.77~1.46 cm,改善至术后12个月的4.31~6.87 cm、0.04~0.57 cm。术后12个月患足X线片示7例跖骨与植骨间均达到了骨性愈合,术后正常跖骨头远端抛物线形状恢复。AOFAS评分由术前 40~70分提高至术后12个月的88~95分;优6例,良1例。
结论: 跖骨即时延长术治疗先天性跖骨短小症,植骨愈合过程中,移植骨生长良好,减少了骨不连的发生,使短小的跖骨恢复到满意的长度,足趾功能恢复好。 |
| 【关键词】跖骨延长术 跖骨短小症 畸形矫正 |
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| Immediate metatarsal lengthening for congenital brachymetatarsia |
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ABSTRACT
Objective To explore clinical efficacy of congenital brachymetatarsia with immediate metatarsal lengthening.
Methods From March 2015 to December 2020,7 patients with brachymetatarsia were treated,including 6 females and 1 male;aged range from 18 to 30 years old;there were 5 patients with metatarsal microsomia on one foot,2 patients with metatarsal microsomia on the first and fourth right foot,and immediate extension of metatarsal microsomia on the first and fourth right foot;two patients were short metatarsal bones of both feet. The length of short metatarsal bone,length of normal metatarsal bone,distance of short metatarsal bone and healing of bone graft were observed before and 12 months after operation. American Orthopaedic Foot and Ankle Society (AOFAS) scores were used to evaluate clinical efficacy and observe complications.
Results Seven patients were followed up for 12 to 24 months. All metatarsal bones were extended to satisfactory length and bone graft were healed completely. Metatarsal length and shortening distance were improved from 3.55 to 5.90 cm and 0.77 to 1.46 cm before operation to 4.31 to 6.87 cm and 0.04 to 0.57 cm at 12 months after operation. Postoperative X-ray of the affected foot at 12 months showed bone healing was achieved between metatarsal bone and bone graft in 7 patients,and the parabolic shape of the distal metatarsal bone recovered after operation. AOFAS scores improved from 40 to 70 before operation to 88 to 95 points at 12 months after operation,and 6 patients were excellent and 1 good.
Conclusion Immediate extension of metatarsal bone for congenital brachymetatarsia,the transplanted bone grew well during the process of bone grafting healing,the occurrence of bone nonunion was reduced,the short metatarsal bone was restored to a satisfactory length,and the toe function restored well. |
| KEY WORDS Metatarsal lengthening Brachymetatarsia Deformity correction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邬博来,王小军,马智敏,吴乐彬,卢梓皓.跖骨即时延长术治疗先天性跖骨短小症[J].中国骨伤,2024,37(12):1208~1212 |
| 英文格式: | WU Bo-lai,WANG Xiao-jun,MA Zhi-min,WU Le-bin,LU Zi-hao.Immediate metatarsal lengthening for congenital brachymetatarsia[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(12):1208~1212 |
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