| 1 ObjectiveTo analyze and evaluate the efficacy of traditional Chinese medicine treatment with metatarsophalangeal joint arthroplasty in the treatment of severe metatarsophalangeal arthritis.2 MethodsThe cases in research are the patients who underwent the MTP jiont arthroplasty that received the traditional chinese treatment in Joint Departments Ⅱ of Wangjing Hospitalfrom February 2011--2014 August. The patients’ mean age was 64.93, has a total of 30 patients,41 feet, male to female ratio of 1:9. Metatarsophalangeal joint arthroplasty was taken for patients who was suffered severe metatarsophalangeal arthritis using the Swanson silicone prosthesis。 Traditional Chinese treatments:①traditional Chinese oral medicine② Chinese Medical Herb Washing③traditional Chinese massage④exercises were taken along around the surgery. AOFAS, VAS and the ROM of MTP jiont in the clinical evaluation were all analyzed to verify the validity of the traditional chinese treatment before and after surgery.3 ResultsPreoperative AOFAS score was (28.09±1.42) points and postoperative was (84.06±1.13) points. The AOFAS score was statistically significant (P<0.05) before and after surgery. Preoperative VAS score was (6.87±0.84) points and postoperative was (0.96±0.12) points. The VAS score was statistically significant (P<0.05) before and after surgery. Metatarsophalangeal joint activity preoperative (28.48±1.30)°,postoperative was (59.46± 1.15)°, the ROM of MTP joints was statistically significant (P<0.05) before and after treatment.4 ConclusionPatients with MTP joint diseases underwent the metatarsophalangeal joint replacement surgery can improve the metatarsophalangeal joint function; use the traditional Chinese medicine treatment normative around the perioperative of metatarsophalangeal joint replacement surgery can promote the recovery of the metatarsophalangeal joint function better. Chinese traditional treatment can be promoted to use during the perioperation of MTP jiont replacement. |
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