{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1818","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1818","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[{"id":"31b47012985b11e8972100163e0462f1","isDel":0,"createAt":1533437752128,"createBy":"6cf36e0b8ef511e8972100163e0462f1","createName":"思无邪","updateAt":0,"updateBy":null,"updateName":null,"applyId":"1083ce02985b11e8972100163e0462f1","userId":"6cf36e0b8ef511e8972100163e0462f1","webType":0,"barId":"1818","status":0,"forumUser":{"id":"6cf36e0b8ef511e8972100163e0462f1","isDel":0,"createAt":1532404538078,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"思无邪","password":"prq13579","level":0,"nickName":"思无邪","realName":null,"signName":"用舍之权在人 而行藏之道在我 身可隐 而不可屈 道可潜 而不可枉","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"451542024@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1}}],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":1,"totalPage":1,"totalRow":1},"metaSearch":{"description":"为您提供:拇外翻的预防_如何预防脚拇指外翻_如何预防拇外翻等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"拇外翻的预防_如何预防脚拇指外翻_如何预防拇外翻","title":"拇外翻的预防_如何预防脚拇指外翻_如何预防拇外翻","channels":null},"data":{"list":[{"id":"27421","isDel":0,"createAt":1571469600020,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"拇外翻与高跟鞋","content":"

在找良医网的拇外翻交流群内，有病人曾经问过关于拇外翻与高跟鞋的一些事宜，找良医网告诉你，高跟鞋虽美却是拇外翻隐患，常练4招足趾操，与高跟鞋和谐共处。

\"拇外翻与高跟鞋\" 

夏天到了，爱美女士们纷纷穿起了高跟鞋，有些鞋跟高的脚丫都要立起来了，殊不知这样的鞋子对足部的伤害很大，最常见的就是崴脚、引发拇外翻畸形。

 

我是反对女同志穿高跟鞋的，所以无论是对医院同事，还是对亲朋好友，只要目测到女同志高跟鞋可能超过3厘米，就会提醒：“你这鞋跟太高了，小心以后得拇外翻。”

 

什么是拇外翻？

 

足拇趾外翻不是什么罕见病，穿高跟鞋的女性容易得，表现是脚拇趾根部向内鼓起一个包，拇指向外侧倾斜超过15度的症状，看起来好像大头蛇，俗称“脚孤拐”，也叫大脚骨。

 

畸形发展严重时会感觉到疼痛，影响日常行走。中国至少一个亿的人患有拇外翻，只是并非每一个人都有症状。但就算是这样，依然阻挡不了女同志们对高跟鞋的迷恋。

 

预防拇外翻，少穿高跟鞋

 

这是门诊与一位女士的对话：

 

“温教授，我特别喜欢穿高跟鞋，现在左脚已经有点拇外翻了，您给做个手术吧？”

 

“做手术没问题，但手术后至少一年不能穿高跟鞋。”

 

话音未落，女同事惊叹，“要一年啊，那不行，我必须得穿高跟鞋的，还是先不做了吧。”

 

门诊中总能遇见这样的“高跟鞋迷”，虽然也警告过她们“你现在还年轻，等到四五十岁，疼的症状就会加重了，到时候就该难受了，所以还是早治早防的好。”

 

拇外翻的日常预防中，最重要的就是“少穿高跟鞋”。对于工作需要或实在要穿高跟鞋的情况，注意每天穿鞋站立或走路不要超过3小时。但很多人还是无法放下对高跟鞋的迷恋，所以今天教大家一套拇外翻足趾保健操，帮助预防大脚骨畸形。

 

4招足趾保健操，预防畸形进展

 

1.大拇趾拉皮筋

用一根橡皮筋拴住两只脚的大拇趾，然后向两侧拉伸，就像在用手做拉力器一样。每次做30个来回，每天坚持。这样能反方向力的作用，可以避免出现拇指向内倾斜过度，从而预防拇外翻发生。

 

2.五个脚趾拉皮筋

在前脚掌即足趾头根部套上橡皮筋，然后尽力张开五个脚趾头，坚持几秒，放松收拢后再张开，每次做30组，每天坚持做，增加足趾力量。

 

3.五个脚趾夹东西

用一些有弹性橡皮管或纱布卷放在脚趾中间，用手把相邻两个脚趾之间捏在一起10秒，每次做30下，每天坚持，使五个脚趾更灵活。

 

4.用脚趾抓毛巾

坐在椅子上，地上放一块毛巾，用脚指头夹起毛巾，坚持几秒放下，反复30次，每天坚持，可以锻炼脚趾柔韧性和抓力，增强足底肌肉力量。

 

拇外翻有遗传性，发病率女多于男，如果母亲或祖辈有拇外翻，更应少穿高跟鞋、多做足趾保健操。    

 \"拇外翻与高跟鞋\"

下载二维码，微信识别，观看温建民教授主讲的《拇外翻解密》

\"拇外翻与高跟鞋\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说！


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拇外翻是骨关节科一个常见的疾病，患者的症状就是大脚拇指向外撇、根部有向内收，在根部长出一个大鼓包，患者往往会有局部的疼痛、炎症，因为第一跖骨的内翻，长时间穿鞋磨脚，依次使皮肤、皮下组织关节囊、骨膜出现一个慢性的炎症，有时候会有急性的疼痛，走的时候更疼，严重的患者长期不治疗脚会不断地加重、逐步畸形。

\"轻微拇外翻要注意啥\"

轻度的患者在日常生活中最好选择前足比较宽松的休闲鞋、布鞋，鞋跟在2-4厘米，运动的时候一定要穿运动鞋，过高过窄的鞋会使脚趾受到挤压、摩擦，行走时因全身重量的压迫脚趾会逐渐的变形，有机会多活动、按摩脚趾，赤脚在沙地行走锻炼足肌，不太严重的患者可以使用分趾垫、夜间拇外翻牵拉固定器抑或个性化鞋垫来减轻症状、防止进一步加重。但是这些方法只能起到缓解疼痛、控制拇囊炎、防止脚进一步加重的效果，并不能矫正脚趾，在骨骼闭合的情况下应该尽早手术治疗，目前还没有一种非手术治疗的方法能治好。

\"轻微拇外翻要注意啥\"

手术分为大切口手术和微创手术，大切口的创口大恢复慢，风险要比微创大一些，一般要做硬膜外麻醉，打钢板，术后病人卧床休息三周左右还要做二次手术。微创手术只要十几分钟，对医生的技术要求比较高，一般是有做大切口手术经验的医生才能学习，手术优良率非常高，合并症少、恢复快也比较美观。在国际上也是领先的一个治疗方法。

\"轻微拇外翻要注意啥\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1747,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1545363222510,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1545363222510,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24301","isDel":0,"createAt":1545105283351,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"大脚趾外翻选鞋","content":"

脚大拇指外翻是骨关节科常见的一个疾病，它的症状就是脚拇指向外撇、根部又向内收，在跟部长出一个大鼓包，就是拇外翻，俗称大脚骨。患者往往会有局部的疼痛、炎症。

\"大脚趾外翻选鞋\"

轻度的患者在日常生活中建议尽量选择前足比较宽松的休闲鞋、布鞋，在运动的时候一定要穿运动鞋，要避免穿尖头鞋、高跟鞋，过高过窄的鞋会对脚趾造成摩擦挤压，行走时脚趾会受到全身重量的压迫逐渐变形。长时间的对脚趾摩擦会依次使皮肤、皮下组织关节囊、骨膜出现慢性的炎症，有时候会有急性的疼痛、走路的时候会更疼。而且有研究发现，经常穿高跟鞋、尖头鞋会使拇外翻的发病率增高15倍。

\"大脚趾外翻选鞋\"

平时如果避免不了穿高跟鞋，回家之后要马上换掉，并常用热水泡脚缓解软组织痉挛，多按摩、活动脚趾。严重的患者建议尽早手术治疗，长期不治疗脚会不断地加重，引起锤状趾、交叉趾，穿鞋的时候在背侧、脚底掌出现胼胝体的疼痛，这时候患者可以说是步履艰难。我们要知道一旦患上拇外翻最后都是要通过手术治疗的，目前还没有一种非手术治疗的方法能治好。

\"大脚趾外翻选鞋\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1906,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1545105283354,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1545105283354,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24282","isDel":0,"createAt":1545029779515,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"拇外翻手术后的恢复期","content":"

拇外翻术后需要做术后功能锻炼，非常重要，手术第二天病人要做拇指的主动背伸直曲，防止手术部位周围关节发生粘连，影响手术效果，良好的关节活动度能让足趾活动更加灵活，术后恢复更快更好。

\"拇外翻手术后的恢复期\"

术后前三天病人可以穿术后支具鞋下地如厕，做踝关节伸屈活动与直腿抬高活动，每天4～6次，每次3～5分钟。第4-14天在疼痛允许的情况下做拇趾主动伸屈活动。如果内固定稳定，穿术后支具鞋尝试部分负重下地行走。第3～4 周，重点进行第一跖趾关节活动度的康复练习。疼痛允许的情况下，一手捏住患者跖骨头部，另一手捏住患者近节趾骨基底部，被动伸屈活动患者的跖趾关节，逐步增大关节活动度。第5～8周，若固定牢靠可穿鞋练习行走，逐渐参加各种活动。三个月之内尽量避免过多过量的活动，这时候骨头还没有完全愈合，容易发生骨折，三个月后可以慢慢增加活动度。基本一年就看不见伤口了。

\"拇外翻手术后的恢复期\"

术后建议饮食清淡加强营养，注意休息，忌辛辣刺激，多吃蔬菜水果高钙，高蛋白的食物。

\"拇外翻手术后的恢复期\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1845,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1545029779532,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1545029779532,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"23505","isDel":0,"createAt":1543286553703,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":1543287145967,"updateBy":"94a09e478ef511e8972100163e0462f1","updateName":"毛主任","userId":"94a09e478ef511e8972100163e0462f1","title":"大脚趾外翻穿什么鞋子","content":"

拇外翻患者常会因为第一跖骨内翻，长期穿鞋磨脚就会依次使皮肤、皮下组织关节囊、骨膜出现慢性的、机械性的炎症，有时候会有急性的疼痛，走路的时候更疼。平时尽量避免穿高跟鞋、尖头鞋，过高、过窄的鞋会对脚趾造成挤压摩擦，影响脚趾的伸展活动造成不适合疼痛，行走的时候也会因全身重量压迫逐渐变形，引起或加重拇外翻。要知道经常穿高跟鞋、尖头鞋的人比不穿的人发病率高出15倍。

\"????????-??.jpg\"/

日常生活中最好穿前足比较宽松的休闲鞋、布鞋，运动的时候一定要穿运动鞋，鞋跟在2-4厘米。有些场合必须要穿高跟鞋，回家之后要马上换掉，并经常用热水泡脚缓解软组织痉挛。

\"???????-??.jpg\"/

如果是重度患者建议尽早手术治疗，避免引起锤状趾、交叉趾，使你的活动受限，步履艰难。手术分为大切口手术和微创手术，大切口常用的有七八种，创口大恢复慢，一般要做硬膜外麻醉，内固定、打钢板，术后病人卧床休息三周左右再做二次手术，会有感染的风险。微创手术只需要十几分钟，一般是有大切口手术经验的医生才能学，术后用绷带包扎，第二天就能下地如厕，三个月后就能慢慢增加活动度，优良率非常高、合并症少，在国际上也是领先的一个治疗方法。

\"???QQ?.jpg\"/

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


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拇外翻患者平时尽量少穿尖头鞋、高跟鞋，避免脚趾受到挤压摩擦、行走的时候因为全身重量压迫脚趾逐渐变形。鞋跟最好在2-4厘米。日常生活中最好前足比较宽松的布鞋、休闲鞋，运动的时候一定要穿运动鞋。

\"拇外翻穿什么鞋最好\"

有机会可以多活动脚趾，尝试练习用脚趾抓东西，赤脚在沙地行走也可以锻炼足肌。常用热水泡脚缓解软组织痉挛。不严重的患者可以用分趾垫、夜间拇外翻牵拉固定器抑或个性化鞋垫来减轻症状、防止进一步加重。

严重的患者建议尽早手术治疗，长期不治疗脚会不断加重引起锤状趾、交叉趾，穿鞋的时候在背侧脚底掌出现胼胝体的疼痛，使患者活动受限，步履艰难。

\"拇外翻穿什么鞋最好\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

\"拇外翻穿什么鞋最好\"

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2060,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1542597877711,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1542597877711,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"16276","isDel":0,"createAt":1534227751265,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1534227798463,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"拇外翻术后康复训练","content":"

对于拇外翻术后，是有要求的，需要做拇外翻术后康复训练的，术后功能锻炼也叫康复治疗，是非常重要的，一般来讲，手术以后第二天，我们这病人就要做拇趾的主动背伸直曲，这是防止手术部位周围关节发生粘连，影响手术效果。良好的关节活动度会使足趾活动更加灵活，术后恢复更快更好。

 

第一，在术后前3天，穿术后支具鞋，单纯拇外翻矫形者当天麻醉恢复后即可下地如厕。患侧做踝关节伸屈活动与直腿抬高活动，每天4～6次，每次3～5分钟。

 

第二，术后的第4-14天，在疼痛允许的情况下，做拇趾主动伸屈活动。如果内固定稳定，穿术后支具鞋尝试部分负重下地行走。如果内固定不稳定，不能下地负重。

 \"???????-??.jpg\"/

第三，术后的第3～4 周，重点进行第一跖趾关节活动度的康复练习。在疼痛允许的情况下，一手捏住患者跖骨头部，另一手捏住患者近节趾骨基底部，被动伸屈活动患者的跖趾关节，逐步增大关节活动度。

 

第四，术后的第5～8周，若固定牢靠可穿鞋练习行走，逐渐参加各种活动。

 \"?????????.JPG\"/

上述内容摘抄自《拇外翻解密》，作者是温建民教授，该知识点通俗易懂，在淘宝就可以买到。近期温建民教授将在850820586这个Q群内帮助解答患者问题，有需要帮助的可以进群咨询！


","barId":"1818","topicTypeId":"3","topicThemeId":"1036","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1961,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1534227751266,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1534227751266,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"16269","isDel":0,"createAt":1534212488822,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"王可可","updateAt":1534319827919,"updateBy":"e8f7486fbba411e7a3d800163e04584d","updateName":"王可可","userId":"e8f7486fbba411e7a3d800163e04584d","title":"拇外翻术后注意事项","content":"

拇外翻现在的手术已经可以达到没有伤口的效果，那么我们做了拇外翻术后注意事项有哪些呢？

 

\"拇外翻术后注意事项\"


我们一周要出院，出院二周以后病人就要到门诊复查，门诊复查以后我们这时候会给患者把绷带拿掉，完了再重新包扎。到四周以后病人把脚洗的干干净净来，我们又重新再给包扎一下。六周的时候也把脚洗干净，病人就可以去掉固定，可以活动关节，这个活动关节是很重要的。完了再三个月、半年、一年来复查，这每一次复查都要拍X光片，要了解骨折愈合的情况。

 

  我们为什么掌握的很严格，要求一年呢？因为我有时候发现，病人在三个月的时候容易出问题，为什么？病人6周到3个月之间已经没有外固定，病人已经外出活动，有些病人以为没有事，所以活动量过大，这时候骨头还没有长结实，是很容易把骨头折断的，所以有时候发现三个月复查时候，我们一问发现他走多了，阻止他过多过量的运动，因此在半年以后，多数都长上了，所以6周到三个月就是去固定这段时间一定要盯住，而且我们三个月我们以后要做一个步态，就是生物力学测试的步态来看您整个步态，你手术以后三个月，这整个步态对不对，有时候走路不对，有时候摆外八字也好或者向外侧那个偏也好，这样以后可以引起这足底胼胝体。所以我们通过步态测试以后，就可以发现你有问题，要及时的给你纠正，因此我们已经形成一个很规范、很严格的，而且很靠谱的一个术后的诊疗康复的体系，所以这也是我们为什么疗效那么高的一个原因之一。

 

\"拇外翻交流群\"


截图源自于温建民教授的《拇外翻解密》多媒体课件，大家可以通过这课件多了解一些预防保健知识，淘宝上就可以买到的，但是只能在电脑上看，希望可以帮助到大家。温建民教授会定期在群里解答问题，还有专业人士指导康复哦。


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   “拇外翻除了遗传之外，后天因素完全可以预防。因此预防的措施是很重要。”刘先银说，平日穿鞋应尽量选用前部较宽，没有高跟的鞋，尤其是在运动或需长距离行走的时候；其次，如果某些工作或场合必须穿高跟鞋，回家后应经常用热水泡足，缓解软组织痉挛。

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    上班最好不要穿跟超过4厘米的高跟鞋为好；在办公室最好准备一双舒适的平底鞋，与高跟鞋交替穿，以减轻局部疲劳。回到家里，立刻脱下高跟鞋，光脚走路，这是消除足部疲劳最简单的好方法；最后，如平常一有机会就应该解放一下双脚，换上鞋底跟低于2厘米的鞋，让双脚皮肤透气。

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    足部疾病与足部功能的失调，影响着成千上万人的生活质量和活动能力。普通大众大多都不知道足部健康和全身健康的关系，由此北京长庚医院提出有关足部健康的十条原则。
    1. 不要忽视足部疼痛，它并非由单纯的劳累引起，一旦出现足部疼痛，要请医师诊治。
    2. 经常观察你的脚，注意你足部皮肤颜色和温度的变化。如发现趾甲的增厚和退色，这可能是感染了灰趾

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    3. 经常洗脚，特别是足趾间，并且一定要擦干。
    4. 修剪趾甲要平直，不可过深，小心修剪趾甲的边缘和角部，修剪不当可导致嵌甲。尤其是糖尿病患者或者循环功能和心功能不良的病人，一旦形成嵌甲后，可导致不可治愈的感染。
    5. 选择一双合适的鞋子，建议在下午，脚胀得最大时购买新鞋。
    6. 建议进行不同的运动时，选择不同的特制鞋。
    7. 一般一双鞋不要连续穿戴超过两天。
    8. 避免赤足行走，以免发生外伤或感染。建议在夏天行走在沙滩或穿凉鞋时，要象身体其他部位一样，在脚上涂抹防晒霜。
    9. 足部发生任何问题时，请不要自行处理，以免造成感染或更严重的问题。
    10. 如果您是一个糖尿病患者，每年至少进行一次足科检查。

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   1、在日常选择皮鞋时，一定要根据自己的脚型，选择舒适的样式。特别是处在生长发育期的青少年，脚在不断地发育、长大，更不适合穿窄小的尖头鞋子。

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    2、平时避免穿尖头高跟皮鞋，特别是运动或出行的时候，尽量选用前部较宽，跟不高的鞋，如果某些场合必须穿高跟鞋，回家后要马上换掉，并经常用热水泡足，缓解软组织的痉挛。 

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    3、轻度的拇外翻病人，疼痛较轻，可采用非手术疗法，包括按摩、搬动拇趾向足内侧、在沙土地赤足行走、锻炼足肌、热敷和休息等。这样有助于减轻症状。

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    4、如果病人同时患有胼胝体、扁平足或跟痛症等疾病，还可同时使用跖骨垫、平足垫或跟骨垫。

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","barId":"1818","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2117,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486605061014,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486605061013,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"623d560be20c11e6a61c00163e04584d","isDel":0,"createAt":1485245349701,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"期缘","password":"yiren2921","level":0,"nickName":"qiyuan99","realName":null,"signName":"早日相逢","head":"/zly-web/resources/images/qq/4.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"jzh@zhao01.com","address":null,"identityType":1,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1419","isDel":0,"createAt":1486605021265,"createBy":"623d560be20c11e6a61c00163e04584d","createName":"期缘","updateAt":0,"updateBy":null,"updateName":null,"userId":"623d560be20c11e6a61c00163e04584d","title":"预防拇外翻加重方法","content":"

　　受访专家/南方医科大学南方医院创伤骨科主任医师金丹

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　　千里之行，始于足下。生活中我们常会听到有人抱怨自己没走多少路就脚痛，他们常常把原因归结为脚趾变形了或市面上卖的鞋头都太小了。南方医科大学南方医院创伤骨科主任医师金丹表示，这或许是你脚拇指在渐渐外翻。

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　　祖辈患有拇外翻

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　　儿孙需要更重视

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　　金丹表示，拇外翻的具体表现一般为大拇趾出现向小脚趾方向偏斜、向外翻，大拇趾内侧的关节突出、增厚，甚至与第二脚趾交叉、重叠畸形，严重者第二第三足趾底增厚或有老茧形成，行走时足趾疼痛，患者往往买不到可以穿的，哪怕是一般的鞋子，严重者甚至导致骨盆、腰椎的疾患。

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　　近年来，拇外翻在穿高跟鞋的人群中患病概率大大增加，因此它与后天不正确的穿鞋方式有很大关系。

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　　据统计，拇外翻在整个人群中的发病比率为5%-7%，女性成为拇外翻的最大发病人群。需要注意的是，该病与先天性因素有一定关系，祖辈中有拇外翻的，儿孙中出现的概率大大增加。

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　　牢记五大窍门

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　　防止拇外翻加重

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　　尽管早在1870年就有国外医生描述了拇外翻这个疾病，但直到今天，它仍然是影响女性足部健康的最常见疾病之一。首先应树立预防永远大于治疗这一概念，尤其是对于由于各种原因必须进常穿高跟鞋的女性而言。

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　　金丹特别向读者分享了五大防止拇外翻加重的窍门，即一少、二矮、三多、四练、五加垫。

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　　一少：尽量少穿尖头，使得前足被动挤压的鞋子；

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　　二矮：指鞋跟的高度最好在2厘米-4厘米之间；

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　　三多：意味着鞋柜中至少要有几类鞋子，适合不同场合穿，如上班时的高跟鞋与坡跟两双皮鞋，轮换着穿。日常生活中要多穿布鞋、休闲鞋，运动时穿运动鞋；

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　　四练：一有机会就多活动脚趾，可以尝试用脚趾练习类似抓毛巾、抓玻璃球等动作，赤足行走也是不错的锻炼方式，如果能配合使用专用的牵拉锻炼小带子，则效果更好；

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　　五加垫：这一方法主要针对已出现拇外翻但并不严重的患者，可以使用分趾垫、夜间拇外翻牵拉固定器抑或个性化鞋垫来减轻症状、防止进一步加重。

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　　尽早治疗

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　　可有助于足功能改善

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　　金丹表示，如果你脚趾的疼痛已经达到保守治疗所不能缓解的程度，或者拇外翻已进展到中重度且出现畸形，那么应该尽早寻求矫正，手术是解决此问题的较好手段。

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　　从医学角度而言，拇外翻看似简单，但竟然有100多种手术方式，可见对于拇外翻的治疗应始终强调因人而异，需要专业的医生根据患者不同的病理阶段，综合采用不同的手术方案。

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　　许多患者对于手术有所顾忌，因此总是能拖就拖，但在国外的一项研究中发现，对比非手术治疗与手术治疗的患者，随访最短为12个月，手术治疗拇外翻术后足功能改善更好，因此，越早手术对于患者的生活和治疗收益将会越好。

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　　金丹进一步介绍道，目前对于中度、重度拇外翻患者，仍以经典的手术方式为主，采用个性化手术方式，才能充分矫正骨性畸形、进行软组织的再平衡、最大限度降低拇外翻复发的可能，以达到减少疼痛、防止畸形进一步发展。

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　职场女白领上班通常爱穿高跟鞋，腿好看更显气质，然而这却有著健康隐忧。

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　　常穿高跟鞋女性更容易患“拇外翻”

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　　进入职场十多年，平时上班几乎都是穿高跟鞋。不知道什麼时候开始，沉女士脱鞋子的时候发现，双脚拇指向小脚趾方向倾斜。

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　　个把月前，沉女士突然发现穿著高跟鞋双脚拇指开始隐隐疼痛。近日上班的时候，沉女士不管穿不穿高跟鞋，脚趾都疼得不能落地走路，隻好上医院检查。接诊医生楼红侃看了下沉女士的脚趾，询问对方有穿高跟鞋史后，根据检查情况告知她得了“拇外翻”，而且比较严重，须进行手术矫正。最终，沉女士选择了接受手术治疗，矫正双脚拇指的畸形。

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　　患“拇外翻”的病人不在少数，平均下来每周都会接诊一两例病人，这些病人年龄多数在30岁至40岁左右。

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　　什么原因会导致拇外翻

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　　1、遗传拇外翻畸形的发生与先天性因素有关，约一半病例有遗传因素。lake认为第1跖骨内翻是畸形的主要原因。临床所见不少患者第1楔骨呈内侧窄的楔形，致使跖趾关节向内倾斜。但在笔者一组76只足拇外翻中，仅9只足的第1跖骨内翻超过12°。按carr的标准，第1、2跖骨夹角为9°，超过此标准者也仅一小部分，可见跖内翻不是先天的。此76足中有11只于mcbride术后，第1、2跖骨夹角减少2°～4°，显然是拇外翻纠正后，拇伸肌、拇屈肌的弓弦状作用减少，以及内收肌移至第1跖骨的影响。同时，拇外翻后，肌肉的弓弦状作用，必产生推跖骨向内翻的力量。

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　　2、穿高跟尖头鞋是拇外翻形成的主要因素之一，尖头鞋的前部为三角形，高跟站立时，足前部被塞入一窄小的三角形区域内，坚硬的鞋面迫使拇趾外翻并略外旋，小趾内翻略内旋，中间3趾近端趾间关节强度屈曲，跖趾关节和远端趾间关节过度伸直。

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　　3、各种炎症尤其是类风湿，常因关节破坏形成向外半脱位，呈拇外翻畸形。

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　　拇外翻的日常注意事项介绍

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　　1、要适当增加户外活动、锻炼、尽量避免长期卧床休息。

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　　2、进高钙食品，以保证骨质代谢的正常需要。多食牛奶、蛋类、豆制品、蔬菜和水果，必要时补充钙剂。

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　　3、超体重者宜控制饮食，增加活页纸动，减轻体重，以利于减轻关节负重。

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　　4、蛋白质的摄入要有限度，食物中过高的蛋白质会促进钙从体内排出。

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　　5、要增加多种维生素摄入，如维生素A、B、B1、B12、C和D等。

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　　6、避免长时间穿尖头高跟皮鞋，平日穿鞋应尽量选用前部较宽的鞋，尤其是在运动或需长距离行走的时候。

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