脚趾移植至拇指手术后步态研究
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THE GAIT ANALYSIS OF TOE TO THUMB TRANSPLANTATION
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    摘要:

    本研究之目的在于利用VICON动态分析系统对将脚趾移植至拇指的术后病人,进行步态分析,以供临床评估及治疗参考。实验对象为3例大脚趾转移手术后的病人,以及3例第二脚趾转移手术后的病人。实验方法是将VICON系统配合测力板及足底接触器,同步收集每位病人之数据,透过IBMPC的程式,计算出步态周期形态及地面反作用力参数,然后对这些数据加以研判及评估。实验结果发现:(1)在大脚趾转移病例,供趾脚之第一足跖骨着地期增加,垂直反力及内、外侧剪力减少。(2)在第二脚趾转移病例中,虽然供趾脚的跖趾着地期大于正常范围约30%,但是地面反应力与正常脚并无明显差别。

    Abstract:

    The purpose of this study is to examine the gait of six postoperative patients being undergone the operation of Toe to Thumb Transplantation by the VICON motion analysis system.Three of the six patients are of Big Toe to Thumb Transplantation,and the other three are of Second Toe to Thumb Transplantation. Through the gait analysis further information can be given for clinical evaluation and therapeutic consideration.A VICON system, force plates and footswitches are implemented in collecting data simultaneoisly.These data are employed for calculating the gait periods and reaction forces from ground to feet with programing in a IBM PC.1) In the case of Big Toe Transplantation it is found the duration for the toe-off foot on the ground is longer. Furthermore, the reaction force and shear stress of in/out step of the toe-off foot are reduced.2) In the case of Second Toe Transplantation we find the duration of the big toe of the toe-off foot on the ground is 30% longer than that of a normal foot. Meanwhile, it is found the reaction force almost keeps constant no matter whether a second toe is on or not.

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吴浚哲,周有礼,蔡佳伦,周伯禧.脚趾移植至拇指手术后步态研究[J].医用生物力学,1995,10(3):143-149

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