Abdo R V, Wasilewski S A
Department of Orthopaedic Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Foot Ankle. 1992 Jul-Aug;13(6):307-12. doi: 10.1177/107110079201300602.
Few studies of ankle arthrodesis have assessed tarsal mobility. This study was performed to evaluate radiographically the effect of ankle arthrodesis on tarsal motion. Thirty patients (31 ankles) returned for clinical and radiographic examination, review of charts, and completion of questionnaire forms. Radiographs were evaluated for success of fusion, position of fusion, tarsal motion, hindfoot position, and subtalar and midtarsal arthritis. The median follow-up time was 7.0 years (range 2-20 years). Results showed that fusion was achieved in 22 patients (71%). The evaluation score based on the grading system of Mazur et al. correlated with success of fusion and patient satisfaction. However, no correlation existed between evaluation score and tarsal motion or position of fusion in the sagittal or coronal planes. Radiographic evaluation showed no significant difference between tarsal motion of the fused side and the unfused side. Tarsal mobility was not affected by ankle arthrodesis or by the techniques performed to achieve fusion.
很少有关于踝关节融合术的研究评估跗骨的活动度。本研究旨在通过影像学评估踝关节融合术对跗骨运动的影响。30例患者（31个踝关节）接受了临床和影像学检查、病历回顾以及问卷填写。对X线片进行评估，内容包括融合是否成功、融合位置、跗骨运动、后足位置以及距下和中跗关节关节炎情况。中位随访时间为7.0年（范围2 - 20年）。结果显示，22例患者（71%）实现了融合。基于Mazur等人分级系统的评估分数与融合成功及患者满意度相关。然而，评估分数与跗骨运动或矢状面或冠状面融合位置之间不存在相关性。影像学评估显示，融合侧与未融合侧的跗骨运动无显著差异。跗骨活动度不受踝关节融合术或实现融合所采用技术的影响。
