应用胫腓骨骨桥技术的小腿截肢术时空参数步态分析

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Abstract Objective To compare the temporal-spatial gait analysis between transtibial amputation with tibiofibular bone bridging technique and traditional transtibial amputation.Methods There were 12 patients in bone-bridging group which underwent transtibial amputation with tibiofibular bone bridging technique，and 20 patients in control group which underwent traditional transtibial amputation.From November 2005 to January 2016.In bone-bridging group，the average age was(42.8±10.1)years，and there were 11 male cases and 1 female case.The reason of amputation were trauma in 10 cases，vascular disease in 1 case and malignant tumour in 1 case.There were 8 cases at proximal tibia，and 4 cases in the middle of tibia.There were 7 cases of left side and 5 cases of right.In control group，the average age was(47.3±9.1)and there were 16 cases of male and 6 cases of female.The amputation reason were trauma in 16 cases，vascular disease in 3 cases and malignant tumour in 1 case.There were 12 cases at proximal tibia，and 8 cases in the middle of tibia.There were 13 cases at left side and 7 cases at right.We recorded height，weight，velocity，cadence，stride length，step width，swing phage，single support time，double support time，symmetry，average pressure intensity，maximal pressure intensity.Results There were no significant difference between two groups with regard to sex，age，amputation reason，amputation level，side，weight and height(P＞0.05).Between two groups，there were no significant difference with ragard to stride length and step width(F＝0.227，P＝0.962；F＝0.015，P＝1.000)，but there were significant difference with regard to velocity，cadence，swing phage，single support time，double support time，symmetry，average pressure intensity，maximal pressure intensity(F＝4.722，P＜0.001；F＝1.007，P＝0.043；F＝2.087，P＝0.036；F＝2.157，P＝0.034；F＝5.382，P＝0.022；F＝3.121，P＝0.005；F＝2.224，P＝0.038).Conclusion Transtibial amputation with tibiofibular bone bridging technique can obtain good temporal-spatial gait analysis data，walking function and gait feature.It is a worth recommending amputation pattern.

Key words： tibiofibular bone bridgeing transtibial amputation gait analysis temporal-spatial parameters

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［1］Machado V，Roque V，Pimentel S，et al.Psychosocial characterization of a portuguese lower limb amputee population［J］.Acta Med Port，2012，25(2)：77-82.
［2］Tintle SM，Keeling JJ，Shawen SB，et al.Traumatic and trauma-related amputations：part Ⅰ：general principles and lowerextremity amputations［J］.J Bone Joint Surg(Am)，2010，92(17)：2852-2868.
［3］Pinzur MS，Gottschalk FA，Pinto MA，et al.Controversies in lower extremity amputation［J］.J Bone Joint Surg(Am)，2007，89(5)：1118-1127.
［4］Bateni H，Olney SJ.Kinematic and kinetic variations of belowknee amputee gait［J］.J Prosthet Orthot，2002，14(1)：2-10.
［5］Ertl J.Special amputation synostosis［J］.Chirurg，1949，20(6)：218-224.
［6］Dederich R.Technique of myoplastic amputations［J］.Ann R Coll Surg Engl，1967，40(4)：222-226.
［7］Pinto MA，Harris WW.Fibular segment bone bridging in transtibial amputation［J］.Prosthet Orthot Int，2004，28(3)：220-224.
［8］Pinzur MS，Pinto MA，Saltzman M，et al.Health-related quality of life in patients with transtibial amputation and reconstruction with bone bridging of the disatl tibial and fibula［J］.Foot Ankle Int，2006，27(11)：907-912.
［9］Vavuzer G.Three-dimensional quantitative gait analysis［J］.Acta Orthop Traumatol Turc，2009，43(2)：94-101.
［10］Barker.Accuracy，reliability，and validity of a spatiotemporal gait analysis system［J］.Medical engineering & physics，2006，28(5)：460-469.
［11］Tucker CJ，Wilken JM，Stinner DJ，et al.A comparison of limb-socket kinematics of bone-bridging and non-bone-bridging wartime transtibial amputations［J］.J Bone Joint Surg(Am)，2012，94(10)：930-942.
［12］Malloy JP，Shawen SB，Forsberg JA，et al.Tibiofibular bone-bridging osteoplasty in transtibial amputation：case report and description of technique［J］.J Surg Orthop Adv，2012，21(4)：270-274.
［13］Gailey RS，Wenger MA，Raya M，et al.Energy expenditure of transtibial amputees during ambulation at self-selected pace［J］.Prosthet Orthot Int，1994，18(2)：84-91.