Vlachou Maria, Dimitriadis Dimitris
Pendeli Children's Hospital, Department of Pediatric Orthopedics, Athens, Greece.
Acta Orthop Belg. 2009 Jun;75(3):380-8.
We retrospectively evaluated 38 patients who had a total of 52 triple arthrodeses. The average age at the time of operation was 14.2 years and the mean followup period was 10.2 years. Results were rated good in 17 feet, fair in 28 and poor in 7. Talonavicular pseudarthrosis was observed in two feet, residual varus deformity in four, residual valgus deformity in one, wound infections in two, and wound haematomas in six. Better results were observed in cavovarus and planovalgus foot deformity, whereas poor results were especially seen in rigid equinovarus, calcaneoplanovalgus and equinoplanovalgus deformity. The role of supplementary operations performed prior to or concomitantly with the triple arthrodesis is crucial for correction of the deformity. Triple arthrodesis is a reliable procedure which generally produces good and satisfactory results. Very often, it needs to be supplemented by other operations for correction of complex foot deformities, as well as for the functional improvement of the patients.
我们回顾性评估了38例患者，这些患者共接受了52次三关节融合术。手术时的平均年龄为14.2岁，平均随访期为10.2年。结果评定为优的有17足，良的有28足，差的有7足。观察到2足出现距舟关节假关节，4足残留内翻畸形，1足残留外翻畸形，2足发生伤口感染，6足出现伤口血肿。在高弓内翻足和扁平外翻足畸形中观察到较好的结果，而在僵硬马蹄内翻足、跟行扁平外翻足和马蹄扁平外翻足畸形中尤其观察到较差的结果。在三关节融合术前或同时进行的补充手术对于畸形的矫正至关重要。三关节融合术是一种可靠的手术，通常能产生良好且令人满意的结果。很多时候，它需要通过其他手术来补充，以矫正复杂的足部畸形，并改善患者的功能。
