Minimally invasive percutaneous tarsometatarsal fusion with bone autograft, non-compression screws, and immediate postoperative weightbearing.

IF 2 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2025-10-04 DOI:10.1016/j.fas.2025.10.002

Gerard F Marciano, Jamie Confino, Ettore Vulcano

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引用次数: 0

Abstract

Background: Percutaneous tarsometatarsal (TMT) fusion is a novel technique with sparse reported literature. This study aims to evaluate patient reported outcomes, fusion and complication rates following percutaneous TMT fusion.

Methods: All patients who underwent percutaneous TMT fusion by a single surgeon with at least one year follow-up from February 2018 to July 2021 were retrospectively reviewed. Pre- and post-operative patient reported outcomes were assessed with Visual Analog Scale (VAS) and Foot Function Index (FFI). Fusion was assessed radiographically at each postoperative visit.

Results: 38 patients with 86 TMT joints were included. Mean age was 60.8 years (range, 46-89 years). Mean follow up was 26.2 months (range, 17-39 months). Mean VAS scores improved from 7.5 to 0.2. Mean pre-operative FFI in pain, disability, activity restriction, and total score was 21.1, 16.5, 18.3 and 56.2, respectively. Mean post-operative FFI in pain, disability, activity restriction, and total score was 4.3, 4.7, 6.5 and 15.7, respectively. All pre- and post-operative differences in FFI and VAS were statistically significant (p < 0.0001). Fusion was achieved in 81/86 TMT (94.1 %).

Conclusion: Percutaneous TMT fusion achieves a high fusion rate and significantly improved patient reported outcomes in all domains.

Level of evidence: IV.

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微创经皮自体植骨跗跖骨融合术，无压迫螺钉，术后立即负重。

背景：经皮跗跖骨（TMT）融合术是一种新技术，文献报道较少。本研究旨在评估经皮TMT融合后患者报告的结果、融合和并发症发生率。方法：回顾性分析2018年2月至2021年7月，所有由一名外科医生接受经皮TMT融合术且随访至少1年的患者。采用视觉模拟量表（VAS）和足功能指数（FFI）评估术前和术后患者报告的结果。术后每次就诊均行影像学评估融合情况。结果：38例患者共86个TMT关节。平均年龄60.8岁（46 ~ 89岁）。平均随访26.2个月（17-39个月）。VAS平均评分从7.5分提高到0.2分。术前疼痛、残疾、活动受限和总分的平均FFI分别为21.1、16.5、18.3和56.2。术后疼痛、残疾、活动受限和总分的平均FFI分别为4.3、4.7、6.5和15.7。结论：经皮TMT融合具有较高的融合率，显著改善了患者报告的所有领域的预后。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.