Background technique
Intoe: also known as big foot bone, foot are cheekboned, and big foot bone refers to that big toe is inclined outwardly 15 degree greater than physiological angle one kindLopsided symptom.Its Etiological is the abarticulation positioned at halluces bottom, causes halluces lateral bending outward, causes big toe boneIt protrudes outward, in addition to other toes can be expressed to, be also easy to generate friction because wearing shoes and cause on the inside of halluces joint or back sideSwelling inflammation, and protrude and be easily formed pachydermia and synovial bursa on the outside of bone, causes toe to be permanently deformed, pain it is also just adjoint andCome.The clinical symptoms at its initial stage stimulate the inflammation occurred by first metatarsal bone head bump pad pain and swelling, local skin, veryIt is serious that big toe but will be enabled Chong Die with the second toe to being cutaneous sores, so that the toe muscular strength tilted is died down, graduallyIt is unable to maintain that balance, bending and stability when standing and can not harmoniously make various movements, finally causes the tendon and muscle of soleFilm is stiff, inflammation and the tenderness sense as spine, when the feeling of pain of entire sole is aggravated, will make patient that can not wear shoes, causesDaily life and foot traffic are all greatly affected, and shape is also unsightly.
The reason of causing big foot bone can be divided into: innate factor and two class of acquired disposition.Congenital is due to joint, nerve, fleshCaused by meat etc..Such as: flat foot, heredity and the reduction of vola biceps and imbalance etc. make the reduction of sole function, cause notStablize thus deform.50% or so patient is related with heredity, and mostly matrilinear inheritance.Acquired disposition is then because dress is not fittedCaused by shoes, usually because wearing the shoes that heel is too high, excessively sharp and narrow, it is fixed easily heel not, toe is caused to squeeze and is rubbedScrape along compressing not only influences the stretching, extension and activity of toe, causes uncomfortable and pain, can also destroy the function at three footholds originallyCan, and entire weight falls in foot front end when walking, toe can gradually be deformed because body wt is oppressed, and cause showing for hallux valgusAs.And wearing inappropriate shoes is the major reason that intoe occurs.In addition other diseases are such as: rheumatic arthritis, rheumatoidThe patients such as arthritis, often because destruction of joint also will appear intoe.
In initial phase, to patient's bring, most directly harm is that their foot is made to be difficult to see to intoe, wears shoes difficultyAnd it is easily destroyed shoe-shaped.When Hallux valgus degree is with advancing age and after become increasingly severe, it to patient withThe harm come also gradually increases, and such as causes many serious foot complication: bunion swells, claw type toe, corn, foot pad.AndAnd after intoe occurs, the foot crossbows that will cause patient is collapsed, and the loading surface in ankle joint can also change correspondingly, when walkingIt will the case where it is easy to appear the strephexopodias.There is pain in the traumatic inflammation that also will cause ankle-joint, or even influences knee passSection, hip joint are so that waist；The concussion of foot buffering and the decline of foot layup, locomitivity, which will receive, to be seriously affected.
Summary of the invention
Technical problem to be solved by the present invention lies in provide a kind of antidote of easy, efficient, safety intoeAnd device.
To reach above-mentioned technical effect, the present invention provides a kind of antidotes of intoe, comprising:
(1), the foot of patient is checked by x-ray, judges the grade of Hallux valgus；
(2), using microkinetic instrument and ion intervention therapeutic instruments, hyperplasia is removed in the joint capsule of Metatarsophalangeal jointSpur, and metatarsal heads displacement and fixed, the metatarsus varus deformity of severe intoe foot in correction are completed in joint capsule.
As an improvement of the above scheme, step (1) includes:
Checked by x-ray, judge the grade of Hallux valgus for slight intoe, moderate intoe or severe thumb outsideIt turns over.
As an improvement of the above scheme, if angle IMA < 13 ° between intoe angle HVA < 25 ° or/and the 1st, 2 metatarsal, it is judged asSlight intoe；
If intoe angle HVA is between 25 ° -35 ° or/and between the 1st, 2 metatarsal, angle IMA is judged as between 13 °~16 °Moderate intoe；
If angle IMA > 16 ° between intoe angle HVA > 35 ° or/and the 1st, 2 metatarsal are judged as severe intoe.
As an improvement of the above scheme, if Hallux valgus toe merges, it is judged as overweight degree intoe.
Correspondingly, the present invention provides a kind of apparatus for correcting of intoe, comprising:
X-ray inspection apparatus is checked for the foot to patient, obtains inspection result；
Judge instrument, for analyzing the inspection result of x-ray inspection apparatus, and judges the grade of Hallux valgus；
Therapeutic equipments is judged as that the patient of slight intoe, moderate intoe and severe intoe divides to instrument is judgedIt is not treated, the therapeutic equipments includes microkinetic instrument, ion intervention therapeutic instruments, pressure socks and insole.
As an improvement of the above scheme, the judgement instrument includes:
Analytical unit obtains angle between intoe angle HVA and the 1st, 2 metatarsal for analyzing the testing result of x-ray inspection apparatusIMA；
First judging unit, for the analysis according to analytical unit as a result, if intoe angle HVA < 25 ° or/and the 1st, 2 plantarAngle IMA < 13 ° between bone judge patient for slight intoe；
Second judgment unit, for according to the analysis of analytical unit as a result, if intoe angle HVA between 25 ° -35 °,Or/and the 1st, 2 angle IMA between metatarsal between 13 °~16 °, judge patient for moderate intoe；
Third judging unit, for the analysis according to analytical unit as a result, if intoe angle HVA > 35 ° or/and the 1st, 2Angle IMA > 16 ° between metatarsal judge patient for severe intoe.
As an improvement of the above scheme, when judge instrument judge patient for slight intoe, the therapeutic equipments include pressurePower socks and insole, the pressure socks and insole are for improving intoe plantar pressure spatial abnormal feature.
As an improvement of the above scheme, when judge instrument judge patient for moderate intoe or severe intoe, it is described to controlTreating instrument includes microkinetic instrument, ion intervention therapeutic instruments, to remove hyperplasia spur in the joint capsule of Metatarsophalangeal joint, andMetatarsal heads displacement and fixed, the metatarsus varus deformity of severe intoe foot in correction are completed in joint capsule.
As an improvement of the above scheme, the judgement instrument further include:
4th judging unit judges patient for the analysis according to analytical unit as a result, if Hallux valgus toe mergesFor overweight degree intoe.
As an improvement of the above scheme, when judging that instrument judges patient for overweight degree intoe, the therapeutic equipments includesPeriosteum elevator.
Implement the invention has the following beneficial effects:
The present invention provides the antidote and device of a kind of intoe, have the characteristics that it is easy, efficient, safe, can notIt makes steel needle, do interior fixation, not suture, not planter cast, treat intoe, a foot with minimal invasive techniques combination shaping surgery technologyIt only needs 20 minutes, disposable to complete intoe correction, operation wound is small, recovery is fast, therapeutic effect is good, at once may be used after patients surgeryIt walks when off field.
Specific embodiment
To make the object, technical solutions and advantages of the present invention clearer, the present invention is made into one below in conjunction with attached drawingStep ground detailed description.
The present invention provides a kind of antidotes of intoe, comprising:
(1), the foot of patient is checked by x-ray, judges the grade of Hallux valgus；
Specifically, step (1) includes:
Checked by x-ray, judge the grade of Hallux valgus for slight intoe, moderate intoe or severe thumb outsideIt turns over.
If angle IMA < 13 ° between intoe angle HVA < 25 ° or/and the 1st, 2 metatarsal are judged as slight intoe；
If intoe angle HVA is between 25 ° -35 ° or/and between the 1st, 2 metatarsal, angle IMA is judged as between 13 °~16 °Moderate intoe；
If angle IMA > 16 ° between intoe angle HVA > 35 ° or/and the 1st, 2 metatarsal are judged as severe intoe.
The present invention is bound the grade of Hallux valgus, and different control can be formulated according to different degrees of intoeTreatment scheme, with strong points, therapeutic effect is good, and correction accuracy is high, lays the foundation for one-time cure intoe.
Intoe develops to severe stage, the symptom that the merging of Hallux valgus toe occur in some patientss is had, if outside thumbTalipes varus toe merges, and is judged as overweight degree intoe.For overweight degree intoe, other treatment equipment can be used, in turnImprove the degree of deformity of intoe.
(2), using microkinetic instrument and ion intervention therapeutic instruments, hyperplasia is removed in the joint capsule of Metatarsophalangeal jointSpur, and metatarsal heads displacement and fixed, the metatarsus varus deformity of severe intoe foot in correction are completed in joint capsule.
The antidote of intoe of the present invention, have the characteristics that it is easy, efficient, safe, can not beat steel needle, do not do it is interior solidFixed, not suture, not planter cast, with minimal invasive techniques combination shaping surgery technology treatment intoe, a foot only needs 20 minutes, onceProperty complete intoe correction, operation wound is small, recovery is fast, therapeutic effect is good, ought can walk off field at once after patients surgery.
Correspondingly, as shown in Figure 1, the present invention provides a kind of apparatus for correcting of intoe, comprising:
X-ray inspection apparatus 1 is checked for the foot to patient, obtains inspection result；
Judge instrument 2, for analyzing the inspection result of x-ray inspection apparatus 1, and judges the grade of Hallux valgus；
Therapeutic equipments 3, to the patient for being judged instrument 2 and being judged as slight intoe, moderate intoe and severe intoeIt is treated respectively, the therapeutic equipments 3 includes microkinetic instrument, ion intervention therapeutic instruments, pressure socks and insole.
Specifically, the judgement instrument 2 includes:
Analytical unit 21 obtains between intoe angle HVA and the 1st, 2 metatarsal for analyzing the testing result of x-ray inspection apparatusAngle IMA；
First judging unit 22, for the analysis according to analytical unit as a result, if intoe angle HVA < 25 ° or/and the 1st, 2Angle IMA < 13 ° between metatarsal judge patient for slight intoe；
Second judgment unit 23, for according to the analysis of analytical unit as a result, if intoe angle HVA between 25 ° -35 °,Or/and the 1st, 2 angle IMA between metatarsal between 13 °~16 °, judge patient for moderate intoe；
Third judging unit 24, for according to the analysis of analytical unit as a result, if intoe angle HVA > 35 ° or/and the 1st,Angle IMA > 16 ° between 2 metatarsals judge patient for severe intoe.
The present invention is bound the grade of Hallux valgus, and different control can be formulated according to different degrees of intoeTreatment scheme, with strong points, therapeutic effect is good, and correction accuracy is high, lays the foundation for one-time cure intoe.
The analytical unit 21 measures intoe angle HVA and the 1st, 2 by scanning the testing result of x-ray inspection apparatusAngle IMA between metatarsal can be obtained analysis result.The mode of scanning and measurement, using the prior art.
When judge instrument 2 judge patient for slight intoe, the therapeutic equipments 3 include pressure socks and insole, the pressurePower socks and insole are for improving intoe plantar pressure spatial abnormal feature.
The pressure socks can select the socks of diversified forms, as one preferred embodiment of pressure socks comprising socks sheetBody, elastic force internal layer, ankle elastic force ring, gradient elastic band and multi-disc shank bouncing plate；The sock body, elastic force internal layer are hot pressed intoThe pressure socks ontology of integral structure；The ankle elastic force ring is arranged at the ankle of the pressure socks ontology, the gradient elastic forceBand is arranged at the shank of the pressure socks ontology.The multi-disc shank bouncing plate is evenly distributed on the pressure socks ontology,At the shank of the pressure socks ontology.
The insole can select the insole of diversified forms, as one preferred embodiment of insole comprising insole main body, shoesPad the first metatarsal bone of main body, second metatarsal bone, os metatarsale tertium, fourth metatarsal bone, fifth metatarsal bone position be respectively equipped with a diaphragm pressureSensor, five diaphragm pressure sensors connect cable by sensor and connect with sensor data acquisition system, sensorData collection system is connect by radio transmitting device with intelligent wireless terminal；It further include the first plantar for being set to insole main bodyBone, second metatarsal bone, os metatarsale tertium, fourth metatarsal bone, the silica gel adhesion coating above the diaphragm pressure sensor at fifth metatarsal bone, judge thumbIt turns up the plantar nervous arch abnormal position of patient；Again by adjusting the height of silica gel adhesion coating, press the vola of intoe patientPower is distributed the plantar nervous arch for meeting normal person.
When judging that instrument judges patient for moderate intoe or severe intoe, the therapeutic equipments includes microkinetic instrumentDevice, ion intervention therapeutic instruments to remove hyperplasia spur in the joint capsule of Metatarsophalangeal joint, and complete metatarsal in joint capsuleHead displacement and fixation, the metatarsus varus deformity of severe intoe foot in correction.
Applicant carries out pressure investigation to intoe foot front foot: the front foot of normal person is mainly by five caput metatarsales and sesamoid bone groupAt.Height of each caput metatarsale apart from ground is different, and the 1st caput metatarsale is dwelt on two pieces of sesamoid bones, liftoff about 6mm, the 5th caput metatarsale fromGround about 6mm, the 2nd caput metatarsale is liftoff about 9mm, the 3rd caput metatarsale is liftoff about 8.5mm, the 4th metatarsal is liftoff about 7mm, the 2nd bone is liftoffFace highest, the 3rd, 4 caput metatarsale are taken second place, and the 1st, 5 caput metatarsale is adjacent with ground every soft tissues of soles.This arrangement of caput metatarsale, structureAt the upward crossbows of flat arc.When front foot bears a heavy burden, load-bearing pressure is transmitted by the caput metatarsale to transverse arch of foot to central caput metatarsale,Each caput metatarsale spacing increases, and transverse arch of foot sink, and impact force kinetic energy is converted into the elastic deformation of transverse arch of foot by the deformation of transverse arch of footPotential energy.The influence factor that transverse arch of foot arc top collapses degree has weight bearing weight, stablizes the ligament and muscle strength of transverse arch of foot, and plantar Handle-of-bow is closedThe height of transverse arch of foot before saving mobility and bearing a heavy burden.The abnormal change of 1st caput metatarsale weight bearing, which directly affects, maintains transverse arch of foot stableInternal factor causes transverse arch of foot to collapse.Another point is it should again be noted that the 1st caput metatarsale is seated on 2 sesamoid bones, joint close relation, andThe weight bearing of 1 metatarsal has mainly raised the 1st metatarsal by following 2 sesamoid bones weight bearing two sesamoid bones of, increases the radian of transverse arch of foot,The compactness of 1st metatarsal sesamoid bone spatial relationship largely affects the height of transverse arch of foot.
Intoe is the compound malformation of the 1st sesamoid bone sequence, maintains the 1st metatarsal, big toe and the 1st articulationes metatarsophalangeae normal anatomy positionThe various stress set change.When intoe occurs, the short wind flesh lateral head of long extensor muscle of thumb, long flexor muscle of thumb, thumb is tight in bowstring shape, a kind of tensile stress for making intoe is collectively formed in the contracture etc. for terminating in the mesothenar that big toe closely saves toe proximal extremity of phalanx of toe.1st plantar toeContact point increases on the outside of joint, forms axis point, " windlass type " occurs and squeezes mechanism, while pulling intoe, oppresses the 1st plantarBone varus, while the medial head of abductor muscle of great toe and short flexor muscel of thumb together constitutes the antagonism power that confrontation is turned up, at this point, the antagonism line of forceIt has just generated and has deviated outward, even if dynamics does not weaken, the tensile stress in outside can not have been fought, while because intoe makes the 1st plantarRelaxation, outside contracture simultaneously thicken on the inside of capsulae articulares digitorum pedis, intoe can be made to aggravate.There is only the 1st metatarsus varus for intoe foot, alsoIncrease with angle before revolving, and there is the weak superficial transverse metatarsal ligament anxiety strain of development, the strain of adductor pollicis anxiety, it is above becauseElement can be such that forefoot width increases, and the 2nd, 3 caput metatarsale is collapsed to plantar side, radian decline, the decline of transverse arch of foot height.With normal foot phaseCompare, identical weight bearing can cause the crossbows of intoe foot to collapse.
The present invention removes hyperplasia in the joint capsule of Metatarsophalangeal joint by microkinetic instrument, ion intervention therapeutic instrumentsSpur, and metatarsal heads displacement and fixed, the metatarsus varus deformity of severe intoe foot in correction are completed in joint capsule.This hairIt is bright not make steel needle, do not do interior fixation, not suture, not planter cast, with minimal invasive techniques combination shaping surgery technology treat intoe, oneFoot only needs 20 minutes, and disposable to complete intoe correction, operation wound is small, recoverys is fast, therapeutic effect is good, is after patients surgeryQuarter ought can walk off field.
As the present invention more preferably embodiment, the judgement instrument 2 further include:
4th judging unit 25 judges for the analysis according to analytical unit 21 as a result, if Hallux valgus toe mergesPatient is overweight degree intoe.
When judging that instrument 21 judges patient for overweight degree intoe, the therapeutic equipments includes periosteum elevator, uses periosteumStripper removes adhering tissue and periosteum around metatarsal neck.
Intoe apparatus for correcting of the present invention is used below, and patient is corrected, specific as follows:
One, patient A, age 56, the more than ten years that wear high heels cause hallux valgus serious.Intoe correction dress through the inventionIt sets and treatment correction is carried out to it, disposable to complete intoe correction, treatment time is only 40 minutes.
Two, treatment results: Fig. 2 is patient A operation consent X-ray figure, X-ray figure after Fig. 3 patient A operation.It is compared by Fig. 2 and Fig. 3It is found that patient's intoe rectification effect is good.
The above is a preferred embodiment of the present invention, it is noted that for those skilled in the artFor, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications are also considered asProtection scope of the present invention.