踝关节持续被动运动器对足畸形患者腱骨结合部的影响

Effect of Continuous Passive Motion Device for Ankle Joint on Tendon Bone Junction in Patients with Foot Deformity

为了研究踝关节持续被动运动器对足畸形患者腱骨结合部的影响,本试验选取2016年1月~2016年8月期间收治的42例男性足畸形患者作为研究对象,按随机数字法设置单一方案组和联合方案组(各21例),单一方案组为微创牵张技术治疗,联合方案组为微创牵张技术治疗后运用踝关节持续被动运动器后期干预治疗,比较两组患者腱骨结合部的延伸长度、组织动力功能及运动功能的改善情况。结果显示,联合方案组患者治疗后腱骨结合部的被动背伸位角度显著小于单一方案组患者治疗后(p<0.05),联合方案组患者治疗后腱骨结合部的弹性模量、刚度模量和Hannover跟腱评分优良率均显著高于单一方案组患者治疗后(p<0.05)。研究结论表明,运用踝关节持续被动运动器对微创牵张术后的足畸形患者进行干预治疗,可显著改善患者腱骨结合部的延伸长度、组织动力功能及运动功能值得临床推广。

In order to study the effect of continuous passive motion device for ankle joints on tendon-bone junction in patients with foot deformity, we selected 42 admitted male patients with foot deformity from January 2016 to August 2016 as the research objects and randomly divided them into the single-solution group and the joint solution group, with 21 cases in each group. The single solution group was treated with minimally invasive distraction technique while the joint group was firstly treated with minimally invasive distraction technique and then was intervened by continuous passive motion device for ankle joint. Then the extension length, the improvement of the dynamic function and the motor function of tendon bone junction in the two groups were compared. The results showed that the passive dorsal extension angle of tendon bone junction of patients in the the joint solution group was significantly smaller than that in the single solution group after treatment （p〈0.05）. The elastic modulus, stiffness modulus and the excellent rate of Hannover achilles tendon score of the joint solution group were all significantly higher than those of the single solution group （p〈0.05）. All results showed that the use of continuous passive motion device for ankle joint in the intervention treatment after minimally invasive distraction technique for patients with foot deformity could significantly improve the extension length, dynamic function and motor function of tendon bone junction, which was worthy of clinical promotion.