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内镜下跟骨成形术——原理、手术技术及早期结果:初步报告

Endoscopic calcaneoplasty--rationale, surgical technique, and early results: a preliminary report.

作者信息

Jerosch J, Nasef N M

机构信息

Klinik für Orthopädie und Orthopädische Chirurgie, Johanna-Etienne-Hospital, Am Hasenberg 46, 41462 Neuss, Germany.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2003 May;11(3):190-5. doi: 10.1007/s00167-003-0365-8. Epub 2003 Apr 23.

Abstract

We present our technique and preliminary results with endoscopic calcaneoplasty in ten patients resistant for conservative therapy for more than 6 months. All patients showed a Haglund spur on radiography; none had a cavovarus deformity. Follow-up ranged from 2 to 12 months (mean 5.2). All patients showed clinical improvement and would undergo for the procedure again. Three showed a good and seven an excellent result in Ogilvie-Harris score. Postoperative radiographic follow-up showed sufficient bone removal in all cases. Surgery lasted on average 46 min (range 28-84). There were no intra- or postoperative complications. Endoscopic calcaneoplasty is an effective minimally invasive treatment option for patients with retrocalcaneal bursitis.

摘要

我们介绍了对10例经保守治疗6个月以上无效的患者进行内镜下跟骨成形术的技术及初步结果。所有患者X线片均显示有Haglund骨赘;均无高弓内翻畸形。随访时间为2至12个月(平均5.2个月)。所有患者临床症状均有改善,且愿意再次接受该手术。在奥吉尔维 - 哈里斯评分中,3例结果良好,7例结果优异。术后X线片随访显示所有病例均有足够的骨质去除。手术平均持续46分钟(范围28 - 84分钟)。无术中或术后并发症。内镜下跟骨成形术是治疗跟腱后滑囊炎患者的一种有效的微创治疗选择。

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