康复疗法在微创技术治疗拇外翻术后的疗效观察

摘要

目的 探讨微创技术治疗拇外翻术后系统规范的康复疗法的疗效.方法 选取采用微创技术治疗的100例拇外翻患者,术后实施规范的康复治疗,观察手术前后拇外翻角度HAV、第一和第二跖骨间角度M角、拇趾-跖趾-趾间关节AOFAS评分指标.结果 100例拇外翻微创小切口手术患者均手术成功,无护理并发症发生;患者术后关节功能优良率高达97.92％,术后HAV角度平均矫正20.07.,M角度平均矫正4.29°,拇趾-跖趾-趾间关节AOFAS评分较术前提高30.79分.结论 将康复疗法应用于微创技术治疗拇外翻术后,可恢复关节功能,有效预防跖趾关节粘连,减少手术并发症.%Objective To explore clinical efficacy of systematic rehabilitation therapy in hallux valgus treated by the minimally invasive technique after surgery.Methods A total of 100 hallux valgus patients treated with minimally invasive technique in our hospital were given standardized rehabilitation therapy.The HAV angle of hallux valgus,the angle M between the first and second metatarsal,and the AOFAS score of the toe-metatarsophalangeal joint were observed.Results Minimally invasive surgery for 100 patients were successful,and no nursing complications occurred.The excellent and good rate of joint function was 97.92％.The mean correction of HAV angle and M angle were 20.07?,4.29 ?,respectively.The AOFAS scores of the toe-metatarsophalangeal joint had increased 30.79 points than preoperation.Conclusion Rehabilitation therapy in minimally invasive surgery for the treatment of hallux valgus can restore joint function,effectively prevent metatarsophalangeal joint adhesions,and reduce the incidence of surgical complications.