Ljung P, Kaij J, Knutson K, Pettersson H, Rydholm U
Department of Orthopaedics, University Hospital, Lund, Sweden.
Foot Ankle. 1992 Jul-Aug;13(6):313-6. doi: 10.1177/107110079201300603.
Arthrodesis of the talonavicular joint with a cylindrical dowel was performed in 19 feet in 17 rheumatoid patients with arthritic destruction of the talonavicular joint, but without fixed hindfoot deformity. Osseous union was achieved in 12 feet, but all patients experienced pain relief and no foot showed progressive valgus deformity of the hindfoot during follow-up. Staple fixation seemed to promote osseous union. The procedure, easy to perform and requiring only 6 weeks of immobilization, may, in the absence of fixed hindfoot deformity, supersede triple arthrodesis in rheumatoid patients with hindfoot arthritis.
对17例患有距舟关节关节炎性破坏但无固定后足畸形的类风湿患者的19只脚进行了带圆柱形销钉的距舟关节融合术。12只脚实现了骨愈合，但所有患者均疼痛缓解，且随访期间无一只脚出现后足进行性外翻畸形。钉书钉固定似乎促进了骨愈合。该手术操作简便，仅需固定6周，在无固定后足畸形的情况下，对于患有后足关节炎的类风湿患者，可能会取代三关节融合术。
