自体骨赘移植治疗踝关节融合术

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2022-04-01 DOI:10.1051/sicotj/2022007
R. Primadhi, H. Gunawan, S. Rachmayati, Hermawan Nagar Rasyid
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引用次数: 1

摘要

目的:已经确定了各种移植来源,以促进踝关节融合术中相关关节缺陷的间隙填充。这是一项初步的研究,目的是分析利用自体骨赘作为移植源的有效性和可行性。方法:对10例采用相同前路入路和钢板固定技术行踝关节融合术的患者进行回顾性评价。记录基本的人体测量值和潜在疾病。术后随访12个月评估功能结局和融合率。结果:基础疾病包括原发性骨关节炎(OA)、创伤后骨关节炎、类风湿关节炎和Charcot关节病。患者平均年龄56.6岁(36-71岁),BMI为17.9 kg/m2 ~ 29.3 kg/m2。几乎所有患者的足踝功能测量(FAAM)评分和胫骨改良放射学愈合评分(RUST)所描述的融合率均有改善。1例患者手术失败,因植入物失败,保护性足感减弱。结论:胫骨远端和距骨颈骨赘是一种可行的骨移植来源,特别是在不同年龄和BMI的前路踝关节融合术中,外科医生不需要额外的切口来收获移植物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Autologous osteophyte grafting for ankle arthrodesis
Purpose: Various graft sources had been identified to facilitate gap-filling in ankle arthrodesis procedures with related articular defects. This was a preliminary study with the aim of analyzing the efficacy and feasibility of using autologous osteophyte as a grafting source. Methods: Retrospective evaluation of ten patients having ankle arthrodesis procedure using identical anterior approach and plate fixation technique was conducted. Basic anthropometric measurements and underlying disease were recorded. Functional outcome and fusion rate were assessed at a 12-month post-surgery follow-up visit. Results: The underlying diseases include primary osteoarthritis (OA), post-traumatic OA, rheumatoid arthritis, and Charcot arthropathy. The patient’s age mean was 56.6 years (range 36–71 years), and BMI varied from 17.9 kg/m2 to 29.3 kg/m2. Nearly all patients had improved functional outcomes as described by foot and ankle ability measure (FAAM) score and fusion rate as described by modified radiographic union score for tibia (RUST). One patient had failed surgery due to implant failure with diminished protective foot sensory. Conclusion: Osteophytes from the distal tibia and talar neck were a viable source of bone graft, especially for ankle arthrodesis using anterior approach among various ages and BMI, in which the surgeons would not need additional incision for graft harvesting.
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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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