本文選題：跖袖　切入點：應用解剖　出處：《吉林大學》2006年碩士論文　論文類型：學位論文

【摘要】：拇外翻是指拇趾外翻及第一跖骨內(nèi)翻,是一種最常見的下肢結(jié)構(gòu)性畸形。多年來,這個課題已得到廣泛探討和研究,無數(shù)矯形外科和足外科醫(yī)生集中精力研究這種病變的病因診斷及治療矯形。治療拇外翻的手術(shù)方式不下100種,主要是緩解癥狀,糾正足部解剖異常,延緩疾病的進一步發(fā)展。認識拇外翻足的復雜三維畸形有助于對其進行的治療。對于拇外翻伴有足弓塌陷且需要做手術(shù)的患者,解決前足畸形的同時,也需考慮肌力平衡和重建足弓的問題。雖然許多學者從X線的角度研究拇外翻與足弓的關(guān)系,但是均未從解剖的角度去揭示拇外翻的真正本質(zhì)。為此,本研究通過對20例新鮮成人標本的解剖研究發(fā)現(xiàn),“跖袖”的動力平衡失調(diào),特別是拇展肌與拇收肌通過籽骨系統(tǒng)導致的平衡失調(diào)是拇外翻形成的核心機制。隨之拇短伸肌、拇短屈肌、拇長伸肌及拇長屈肌解剖關(guān)系發(fā)生變異,加重拇外翻畸形。因此,我科設(shè)計的拇展肌與拇收肌移位吻合矯正拇外翻的新術(shù)式在矯正拇外翻畸形的同時,恢復了“跖袖”和前足的生理解剖結(jié)構(gòu)及生物力學功能,重建前足橫弓,適于臨床推廣使用。
[Abstract]:Hallux valgus refers to the hallux valgus and the first metatarsal varus, which is one of the most common structural deformities of the lower extremity. Numerous orthopaedic and foot surgeons have focused on the etiological diagnosis and treatment of this disease. There are no fewer than 100 surgical methods for the treatment of hallux valgus, mainly to relieve symptoms and correct anatomic abnormalities of the foot. Delay the further development of the disease. Understanding the complex three-dimensional deformities of hallux valgus feet is helpful to its treatment. For patients with hallux valgus accompanied by collapse of the foot arch and requiring surgery, the treatment of the forefoot deformity is at the same time, It is also necessary to consider the balance of muscle force and the reconstruction of foot arch. Although many scholars have studied the relationship between hallux valgus and foot arch from the perspective of X-ray, none of them has revealed the true essence of hallux valgus from an anatomical point of view. In this study, the anatomic study of 20 fresh adult specimens showed that the dynamic balance of "plantar cuff", especially the imbalance between abductor pollicis muscle and adductor hallucis muscle through the seed bone system, was the core mechanism of hallux valgus formation, and the extensor pollicis brevis muscle was followed. The anatomic relationship among flexor pollicis brevis, extensor pollicis longus and flexor pollicis longus was changed, which aggravated hallux valgus malformation. The "plantar sleeve" and forefoot's physiological and anatomical structure and biomechanical function were restored, and the transverse arch of forefoot was reconstructed, which is suitable for clinical application.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2006
【分類號】：R322;R682

【參考文獻】

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本文編號：1638073