内侧柱融合术治疗退行性足外翻畸形。9例患者的报告。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
A A Faraj
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引用次数: 0

摘要

退行性趾外翻是一种渐进性致残疾病,目前有多种手术方法用于治疗,但疗效各异。本研究旨在强调内侧柱融合手术在治疗该病症方面的优势。2015年1月至2020年12月期间,九名患有硬性退行性足外翻(无明显足跟外翻畸形)的成年患者接受了内侧柱融合术。其中四名患者接受了踝关节融合术,一名患者接受了侧柱延长术。平均随访时间为 19.5 个月(15-27 个月)。术后定期进行临床和放射学复查。7 名患者的平均曼彻斯特牛津足评分为 "良好",2 名患者为 "一般"。术前平均 Meary 角为 5.8 ± 5.4°,最后随访时改善为 0.9 ± 7.7°,平均 Pitch 角也从术前的 12.5 ± 3.7°改善为 23.2 ± 4.1°(P < .001)。这一系列病例的结果令人鼓舞,内侧柱融合术仍然是治疗硬性足底外翻畸形的良好选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medial column fusion for degenerative pesplanovalgus deformity. Report of 9 patients.

Degenerative pesplanovalgus is a progressive disabling condition; there are more than one surgical procedure used in the treatment with varied outcomes. The aim of the current study is to highlight the benefits of the medial column fusion surgery in the treatment of this condition. Nine adult patients with rigid degenerative pesplanovalgus (without significant valgus heel deformity) underwent medial column fusion between January 2015 to December 2020. The procedure was combined with subtalar fusion in four patients and lateral column lengthening in one patient. The mean follow-up period was 19.5 months (range, 15-27). Regular clinical and radiological reviews was carried out in the postoperative period. The mean Manchester Oxford foot score was good in 7 patients, and fair in two patients. The mean Meary angle was 5.8 ± 5.4° preoperatively and improved to 0.9 ± 7.7° at final follow-up, and the mean Pitch angle also improved from 12.5 ± 3.7° preoperatively to 23.2 ± 4.1° (P < .001). In a patient, and at a different stage, talo-navicular fusion was added to the medial column fusion.The outcome of this series of cases was encouraging and medial column fusion continues to be a good option in the management of rigid pesplanovalgus deformity.

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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
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