三关节融合术的单一内侧入路：一项尸体研究。
The single medial approach to triple arthrodesis: a cadaver study.
作者信息
Jeng Clifford L, Tankson Cedric J, Myerson Mark S
机构信息
Mercy Medical Center, Institute for Foot and Ankle Reconstruction, 301 St. Paul Place, Baltimore, MD 21202, USA.
出版信息
Foot Ankle Int. 2006 Dec;27(12):1122-5.
BACKGROUND
Triple arthrodesis is traditionally done through a two-incision approach. In certain high-risk patients, it may be desirable to do the procedure through a single medial incision to avoid lateral wound healing problems.
METHOD
A cadaver study was undertaken to determine the percentage of surface area of each hindfoot joint that could be prepared through a single medial incision. Five cadaver legs were assigned to the single-incision group, and one cadaver leg was used as the "standard" two-incision specimen.
RESULTS
Through the single-incision approach, 91% of the talonavicular joint, 91% of the subtalar joint, and 90% of the calcaneocuboid joint could be prepared. These results were comparable to the two-incision cadaver specimen results.
CONCLUSIONS
A single-incision medial approach for triple arthrodesis is a safe and effective technique in the management of hindfoot deformity and arthritis in certain high-risk patients.
背景
传统上三关节融合术通过双切口入路进行。对于某些高危患者，可能希望通过单一内侧切口进行该手术，以避免外侧伤口愈合问题。
方法
进行了一项尸体研究，以确定通过单一内侧切口可准备的每个后足关节的表面积百分比。将五条尸体腿分配到单切口组，一条尸体腿用作“标准”双切口标本。
结果
通过单切口入路，可准备距舟关节的91%、距下关节的91%和跟骰关节的90%。这些结果与双切口尸体标本的结果相当。
结论
对于某些高危患者，三关节融合术的单一内侧切口入路是治疗后足畸形和关节炎的一种安全有效的技术。
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