摘要目的 评估发育性髋关节发育不良(developmental dysplasia of the hip,DDH)患儿手术前后足底压力分布及平衡功能的变化情况。方法 收集2013年6月至2017年6月我院收治的经手术治疗的25例DDH患儿术前及术后资料。其中男性12例,女性13例;年龄4.5~9.3岁,平均(7.1±2.5)岁。采用Zebris FDM(德国)系统评估患儿的足底压力及平衡情况。评估平衡功能的参数包括椭圆摇摆区域面积、压力中心路径长度及压力中心平均移动速度。通过术前及术后的参数对比,分析DDH患儿术后足底压力分布及平衡功能的改变。结果 患者术后1年双侧足底压力分布较术前更均匀,与术前相比差异有统计学意义(P<0.05)。术后1年代表身体平衡功能的3个参数较术前有明显改善,差异有统计学意义(P<0.05)。结论 DDH患儿行切开复位、骨盆截骨手术,术后的足底压力分布较术前更均匀,而身体平衡功能较术前有显著改善。
Abstract:Objective To evaluate the changes of the pressure distribution and balance of the plantar pressure before and after the operation of the DDH children.Methods From June 2013 to June 2017,25 cases of DDH children treated injishuitanhospital were collected before and after the operation.There were 12 males and 13 females,anged from 4.5~9.3 years,with an average age of(7.1±2.5)years.The plantar pressure and balance of the children were assessed using the Zebra FDM (Germany) system.The parameters for the evaluation balance included the ellipse sway area,the pressure center path length,and the average moving speed of the pressure center.The changes of plantar pressure distribution and balance in children with DDH after operation were analyzed by comparing the parameters before and after operation.Results The pressure distribution of the bilateral plantar pressure was more uniform in one year after the operation,and the difference was statistically significant (P<0.05).The 3 parameters representing the body balance were significantly improved in one year after the operation,and the difference was statistically significant (P<0.05).Conclusion For DDH children underwent open reduction and pelvic osteotomy,the pressure distribution of the plantar pressure after operation is more uniform than thatbefore operation,and the balance of the body is significantly improved after the operation.
孙洁,王楠,李燕华. DDH患儿手术前后足底压力分布及平衡功能的研究[J]. 实用骨科杂志, 2021, 27(1): 37-39.
Sun Jie,Wang Nan,Li Yanhua. Study on the Pressure Distribution and Balance of the Plantar Pressure before and after the Operation of Children with DDH. sygkzz, 2021, 27(1): 37-39.
[1]李卫平,王华明.发育性髋关节发育不良[J].中国组织工程研究与临床康复,2011,15(52):9851-9854.
[2]张立军,吉士俊,李连永.发育性髋关节发育不良的诊治策略[J].临床小儿外科杂志,2012,11(3):161-165.
[3]高树熹,蔡爱露.高频超声与三维CT诊断婴幼儿发育性髋关节发育不良的对照观察[J].中国医学影像技术,2009,25(7):1251-1254.
[4]邓学海,刘传康,李明,等.骨盆三联截骨术加股骨近端截骨治疗大龄儿童发育性髋关节发育不良32例疗效观察[J].重庆医学,2012,41(13):1285-1287.
[5]吕学敏,郭源,边臻,等.婴儿发育性髋关节发育不良自然发育过程研究[J].中华小儿外科杂志,2014,35(11):848-852.
[6]高珊,田德润,王植.发育性髋关节发育不良闭合复位术失败影响因素的MR评价[J].中国临床医学影像杂志,2018,29(1):50-54;68.
[7]刘玲玲,高月,李琦,等.发育性髋关节发育不良磁共振检查的研究进展[J].中国临床医学影像杂志,2017,28(12):893-896.
[8]陈艳艳,周转宁,李晓洒.新生儿访视期先天性心脏病和发育性髋关节发育不良同步筛查模式探讨[J].中国急救医学,2017,37(1):243-244.
[9]张淑敏,陈涛,郭稳,等.股骨头覆盖率在婴儿发育性髋关节发育不良治疗随访中的价值初探[J].中华超声影像学杂志,2018,27(6):515-519.
[10]中华医学会骨科学分会.发育性髋关节发育不良诊疗指南(2009年版)[J].中国矫形外科杂志,2013,21(9):953-954.
[11]Yum H,Eom SY,Lee Y,et al.Investigation of the relationship between localized cumulative stress and plantar tissue stiffness in healthy individuals using the in-vivo indentation technique[J].J Mech Behav Biomed Mater,2019(98):157-162.
[12]Sheng Y,Kan S,Wen Z,et al.Effect of kinesio taping on the walking ability of patients with foot drop after stroke[J].Evid Based Complement Alternat Med,2019(2019):2459852.
[13]Szyszka-Sommerfeld L,Machoy M,Lipski M,et al.The diagnostic value of electromyography in identifying patients with pain-related temporomandibular disorders[J].Front Neurol,2019(10):180.
[14]Kocjan J,Gzik-Zroska B,Nowakowska K,et al.Impact of diaphragm function parameters on balance maintenance[J].PLoS One,2018,13(12):e020869.
[15]Piatek S,Hartmann J,Günther P,et al.Influence of Different Instrument Carrying Systems on the Kinematics of the Spine of Saxophonists[J].Med Probl Perform Art,2018,33(4):251-257.
[16]史立伟,赵群,张立军,等.发育性髋关节发育不良与关节松弛的相关性研究[J].中国矫形外科杂志,2009,17(13):973-976.
[17]董甜甜,聂芳,魏佳琪,等.高频超声诊断婴儿发育性髋关节发育不良[J].中国医学影像技术,2018,34(7):1076-1080.
[18]李琰,郁冰心,王琳琳.高频超声与X线对不同月龄患儿发育性髋关节发育不良的诊断分析[J].中国实验诊断学,2018,22(4):682-683.