(足母)外翻矫形器研制与临床应用.docVIP

(足母)外翻矫形器研制与临床应用 　　[摘要] 目的 探讨新型（足母）外翻矫形器的研制与临床应用的效果。 方法 设计并制出新型（足母）外翻矫形器并结合临床给（足母）外翻患者使用。共计34例（足母）外翻患者使用。其中男性3例，女性31例。年龄21~71岁，平均42岁。（足母）外翻角度15.2°～20.4°，平均为（17.4±2.1）°。 结果 经治疗3个月，改善疼痛症状的患者有5例，占7例疼痛患者的71.43%。矫正（足母）外翻患者3例，占（足母）外翻患者的8.82%。3位患者的平均年龄为25岁。24例（足母）外翻患者HVA未增大，占（足母）外翻患者的70.59%。 结论 该新型（足母）外翻矫形器具有矫形功能，并且对20～30岁年轻的患者效果明显。 　　[关键词] （足母）外翻；（足母）外翻角度；矫形器；骨科 　　[中图分类号] R682.1+6 [文献标识码] B [文章编号] 1674-4721（2012）02（a）-0155-02 　　 　　Hallux valgus orthosis development and clinical application 　　ZHOU Jiachao GAO Gen踏平 　　Zhejiang Chinese Medical University, Hangzhou 310053, China 　　[Abstract] Objective To explore new type of hallux valgus orthosis development and clinical application effect. Methods A new type of hallux valgus orthosis which was combined with clinic to the requirements of hallux valgus patients was designed and manufactured. It was tried on a total of 34 Hallux valgus patients, 3 of whom were male, 31 were female, ages were from 21 to 71, and the average age of them was 42. Hallux valgus angle was from 15.2°-20.4°, an average of (17.4±2.1)°. Results After three-month treatment, there were 5 cases getting improvement of pain symptoms, in which a total of 7 cases had pain, accounting for 71.43% of patients who had pain. 3 cases had got correction of Hallux valgus, accounting for 8.82% of patients who had hallux valgus. The average age of the 3 patients was 25. The HVA of 24 Hallux valgus patients did not increase, accounting for 70.59% of patients with Hallux valgus. Conclusion The new Hallux valgus orthosis has orthopedic features, and there is obvious effect on the young patients whose ages are from 20 to 30. 　　[Key words] Hallux valgus; Hallux valgus angle（HVA）; Orthosis; Osteology 　　 　　足（足母）指外翻也称（足母）外翻，是足部一种常见的畸形，其发病率为10%。女性多于男性。（足母）外翻的病因说法较多，目前认为主要与遗传、生活习惯（如长期穿高跟鞋及较窄的鞋）、关节疾病等因素有关。（足母）外翻的主要表现是第一趾骨向外侧偏移，严重者（足母）指可以位于第二、三趾骨的下面，将第二、三趾顶起来，日久可形成椎状趾。一般认为（足母）外翻角度（hallux valgus angle，HVA）即正位X线片中第一跖骨与近节趾骨轴线的夹角大于15°就是（足母）外翻畸形。足（足母）指变形后，容易与鞋摩擦，天长日久，该处的皮肤和皮下组