中国骨伤2025，Vol.38Issue(6)：566-571,6.DOI:10.12200/j.issn.1003-0034.20250505
微创拇外翻病症诊疗体系指导治疗拇外翻的临床疗效观察
Clinical efficacy of hallux valgus under the guiding of minimally invasive hallux valgus diagnosis and treatment system
蔡沛彪 1豆以彪 2林创坚 1温冠楠 3陈海波 1王创明1
作者信息
- 1. 汕头市中医医院,广东 汕头 515041
- 2. 中国藏学研究中心北京藏医院,北京 100029
- 3. 中国中医科学院望京医院,北京 100102
- 折叠
摘要
Abstract
Objective To explore short-term clinical efficacy of minimally invasive diagnosis and treatment system for hal-lux valgus in guiding the treatment of hallux valgus.Methods From March 2021 to November 2023,68 patients(136 feet)with hallux valgus were treated under guidance of minimally invasive diagnosis and treatment system,including 12 males and 56 fe-males;aged from 25 to 68 years old with an average of(42.5±8.5)years old,the course of disease ranged from 3.2 to 15.6 years with an average of(10.3±2.6)years.The changes of hallux valgus angle(HVA)and intermetatarsal angle(IMA),visu-al analog scale(VAS)and American Orthopaedic Foot Ankle Society(AOFAS)forefoot score were recorded and compared before operation and 12 months after operation.Results Sixty-five patients(130 feet)were followed up for 12 to 15 months with an average of(13.8±0.5)months,3 patients(6 feet)were not followed up as required.HVA and IMA improved from(35.5±3.5)° and(12.5±2.0)° before operation to(10.5±2.5)° and(8.5±1.5)°12 months after operation,respectively,with statistically significant differences(P＜0.05);VAS decreased from(5.5±1.2)before operation to(1.2±0.5)at 12 months after operation,and the difference was statistically significant(P＜0.05);AOFAS forefoot score increased from(50.6±5.1)before operation to(93.8±5.6)at 12 months after operation,with a statistically significant difference(P＜0.05).Among them,102 feet were got excellent result,24 feet good,and 4 feet fair.Two patients were developed calf intermuscular vein thrombosis,and were cured after 3 months of symptomatic treatment.Conclusion Under the guidance of minimally invasive diagnosis and treat-ment system for hallux valgus,the treatment of HV could obviously improve HVA and IMA,and significantly alleviate pain symptoms,and accelerate functional recovery.关键词
微创/拇外翻/外固定/中西医结合/静脉血栓Key words
Minimally invasive/Hallux valgus/External fixation/Integrated Chinese and Western medicine/Vein thrombosis分类
医药卫生引用本文复制引用
蔡沛彪,豆以彪,林创坚,温冠楠,陈海波,王创明..微创拇外翻病症诊疗体系指导治疗拇外翻的临床疗效观察[J].中国骨伤,2025,38(6):566-571,6.
