[采用多布斯方法治疗垂直距骨]
[Treatment of vertical talus with the Dobbs method].
作者信息
Eberhardt O, Fernandez F F, Wirth T
机构信息
Orthopädische Klinik, Olgahospital, Stuttgart.
出版信息
Z Orthop Unfall. 2011 Apr;149(2):219-24. doi: 10.1055/s-0030-1270822. Epub 2011 Apr 5.
AIM
The widely accepted treatment of vertical talus after casting is correction by extensive surgery. Dobbs described a new method for the treatment of vertical talus by casting and minimally invasive surgery. The purpose of the present study was to evaluate the efficacy of this new method.
MATERIAL AND METHOD
Between 11/06 and 11/09 we treated 7 patients with 12 vertical tali. Treatment followed the protocol of Dobbs. The initiation of treatment, number of casts, surgery, as well as clinical and radiological results were documented. To evaluate the radiological result we used the Hamanishi score.
RESULTS
From the beginning all feet could be treated successfully with the Dobbs method. According to the Hamanishi classification we have four excellent and five good results. Two feet had a relapse with subluxation or dislocation of the talonavicular joint.
CONCLUSION
Treatment of vertical talus with the Dobbs method is successful. Extensive surgery could be reduced. We recommend the method as primary treatment for vertical talus.
目的
对于垂直距骨，目前广泛接受的治疗方法是通过广泛手术进行矫正。多布斯描述了一种通过石膏固定和微创手术治疗垂直距骨的新方法。本研究的目的是评估这种新方法的疗效。
材料与方法
2006年11月至2009年11月期间，我们对7例患者的12个垂直距骨进行了治疗。治疗遵循多布斯的方案。记录治疗开始时间、石膏固定次数、手术情况以及临床和放射学结果。为评估放射学结果，我们采用了滨西评分。
结果
从一开始，所有足部均能通过多布斯方法成功治疗。根据滨西分类，我们有4例优和5例良的结果。2只足部出现距舟关节半脱位或脱位复发。
结论
采用多布斯方法治疗垂直距骨是成功的。可以减少广泛手术。我们推荐该方法作为垂直距骨的主要治疗方法。
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