Fernández de Retana P, Maceira E, Fernández-Valencia J A, Suso S
Foot Unit, Department of Orthopaedic and Trauma Surgery, Institut Clínic de l'Aparell Locomotor, Hospital Clínic, University of Barcelona, C/ Villarroel, 170 Barcelona, Spain.
Foot Ankle Clin. 2004 Mar;9(1):65-72. doi: 10.1016/S1083-7515(03)00175-X.
Several surgical treatments have been proposed to correct the deformity associated with MWD and alleviate the pain; however, no technique can be named the gold standard. TNC arthrodesis is a safe and effective technique for the treatment of the MWD and can be performed with a dorsal or medial approach;we recommend the dorsal approach. We believe that autologous bone graft provides sufficient stability and internal fixation is not needed. Treatment of MWD is not well-documented in literature; more studies are needed to determine the optimum surgical treatment for this rare disease.
已经提出了几种外科治疗方法来矫正与多关节挛缩症相关的畸形并减轻疼痛;然而,没有一种技术可以被称为金标准。三关节融合术是治疗多关节挛缩症的一种安全有效的技术,可以通过背侧或内侧入路进行;我们推荐背侧入路。我们认为自体骨移植提供了足够的稳定性,不需要内固定。关于多关节挛缩症的治疗在文献中记载不多;需要更多的研究来确定这种罕见疾病的最佳手术治疗方法。