外翻足

［Objective］To identify the standard of radiographic diagnosis and analyse the measurement between tailor's bunion and normal feet.［Methods］The fourth-fifth intermetatarsal angle (IM4～5),modified fourth-fifth intermetatarsal angle (MIM4～5),metatarsophalangeal-fifth angle,lateral deviation of the fifth metatarsal angle,width of fifth metatarsal head,distance of prominence of the fifth metatarsal head were measured by X-ray for 131 feet of normal persons and 117 feet of tailor's bunion. The measured results and other clinical presentations were compared.

［目的］通过对小趾囊炎足与正常足X线的测量及对比分析研究，明确小趾囊炎足X线诊断标准［方法］对131例正常足与117例小趾囊炎足的第4～5跖骨间角(IM4～5)，改良4～5跖骨间角(MIM4～5)，小趾内翻角，第5跖骨外翻角，第5跖骨头宽度及突出距离进行X线测量，结合临床对测量结果进行对比分析研究。

Methods］The fourth-fifth intermetatarsal angle (IM4～5),modified fourth-fifth intermetatarsal angle (MIM4～5),metatarsophalangeal-fifth angle,lateral deviation of the fifth metatarsal angle,width of fifth metatarsal head,distance of prominence of the fifth metatarsal head were measured by X-ray for 131 feet of normal persons and 117 feet of tailor's bunion.

方法］对131例正常足与117例小趾囊炎足的第4～5跖骨间角(IM4～5)，改良4～5跖骨间角(MIM4～5)，小趾内翻角，第5跖骨外翻角，第5跖骨头宽度及突出距离进行X线测量，结合临床对测量结果进行对比分析研究。

A single or double dewclaw may be present on the rear feet.

可能会在后足有单外翻爪或双外翻爪。

Hind feet : Slightly less arched than forefeet, turned neither in nor out.

后足 ：圆拱状，与前足相比，略平，既不向内翻也不向外翻

Methods Ten fresh-frozen foot specimens, three-dimensional kinematics of talonavicular joint were determined in the case of neutral position, dorsiflexion, plantoflexion, adduction, abduction, inversion and eversion motion by means of three-dimensional coordinate instrument （Immersion MicroScribe G2X） before and after calcaneocuboid arthrodesis under non-weight with moment of couple, bending moment, equilibrium dynamic loading.

方法10只新鲜尸体足标本，通过建立非负重位尸体足模型，结合力偶矩、弯矩及平衡加载方法，应用三维坐标仪测量分析跟骰关节融合前、后距舟关节在大体足背屈、跖屈、内收、外展、内翻及外翻运动中的三维运动度变化。

［Objective］To explore the clinical efficiency,operative methods,apparatus assembly and postoperative administration of Ilizarov technique in the correction of talipes equinovarus.［Method］From January 2003 to May 2006,32 patients were corrected with QIN Si-he's orthotics devices on the Ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.

［目的］探讨Ilizarov技术矫正马蹄内翻足畸形的手术方法及器械改良、术后管理方法的改进及疗效［方法］2003年1月～2006年5月，根据Ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循Ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。

The Ilizarov technique was used in 9 patients (11 feet) with the severe rigid talipes equinovarus deformity, in which one patient with syringomyelia, and the orthers with congenital club foot. Prospective goals of correction were made in all the cases.

方法］作者在2000年3月～2005年3月间，使用Ilizarov技术矫正9例11足重度僵硬性马蹄内翻足畸形，将连接于胫骨、跟骨、跖骨的外固定环互相连接、组合成复杂的三维外固定架，通过逐渐调整外固定架矫正畸形，从而使患足达到或接近正常足的外形和功能。

For 9 patients (11 feet), 6 feets achieved excellent result, 4 feets good and 1 foot poor results respectively. Ilizarov technique in treatment of the severe rigid talipes equinovarus deformity achieves a good clinical result.

结论］Ilizarov外固定架三维矫正马蹄内翻足畸形效果确实，尤其适用于大年龄儿童之僵硬、复发或难治性马蹄内翻足，有一定的临床应用价值。

In accordance with pathological changes and requirements for correctioning talipes equinus,cavus,calcaneus and forefoot varus or valgus,four standard external fixators were designed on the basis of Ilizarov apparatus assembly and tested biomechanically to correct the above.

根据中国患者马蹄足、高弓足、跟行足和前足内收或外翻畸形足的病理改变特点与矫形要求，在Ilizarov环形外固定器构型的基础上，设计完成了标准的矫正马蹄足、高弓足、跟行足和前足内收或外翻的4种外固定矫形器构型，并进行了力学测试。

The anteroposterior projectionof the foot, utilized to examine the foot disease in the past was referred as to the freely-stressed method. However, most of the patients on suspicion of Hallux Valgus get pains while standing with weight-bearing. Additionally, the patients' real conditions can not be diagnosed without standing. it is helpful for us to apply both the foot weight-bearing and the foot non weight-bearing so as to probe the individual difference between the HVA and the IMA 1(superscript * intermetatarsal angle and further to provide the informative resources concerning the assessment of performing surgery operation. The study include 40 patients who we having Hallux Valgus of different degree, The findings have revealed the significant difference among 40 patients after the method-weight-bearing AP of the foot projection given.

过去一般常用诊断足部疾病的足部摄影(anteroposterior projection of the foot； AP projection of the foot)是指未施加压於病人足部的拍摄方法，然而多大脚趾外翻的病患常於站负重时感觉疼痛舒服，而未负重摄影却无法呈现出病人站时的真实态，因此我们用足部前后位负重摄影(weight-bearing AP projection of the foot)与足部未负重摄影(non weight-bearing AP projection of the foot)的影像比较其大脚趾外翻角(Hallux valgus angle， HVA)及第一跖骨间的角1(上标 st intermetatarsal angle， IMA的差，进而提供外科手术的估评。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新