{"title":"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。","authors":"Gerard F Marciano, Jamie Confino, Ettore Vulcano","doi":"10.1016/j.fas.2025.10.002","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 %).</p><p><strong>Conclusion: </strong>Percutaneous TMT fusion achieves a high fusion rate and significantly improved patient reported outcomes in all domains.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":48743,"journal":{"name":"Foot and Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Minimally invasive percutaneous tarsometatarsal fusion with bone autograft, non-compression screws, and immediate postoperative weightbearing.\",\"authors\":\"Gerard F Marciano, Jamie Confino, Ettore Vulcano\",\"doi\":\"10.1016/j.fas.2025.10.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 %).</p><p><strong>Conclusion: </strong>Percutaneous TMT fusion achieves a high fusion rate and significantly improved patient reported outcomes in all domains.</p><p><strong>Level of evidence: </strong>IV.</p>\",\"PeriodicalId\":48743,\"journal\":{\"name\":\"Foot and Ankle Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Foot and Ankle Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.fas.2025.10.002\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot and Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.fas.2025.10.002","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Minimally invasive percutaneous tarsometatarsal fusion with bone autograft, non-compression screws, and immediate postoperative weightbearing.
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.
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.
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