中足关节融合术。

Midfoot arthrodesis.

作者信息

Gougoulias Nikolaos, Lampridis Vasileios

机构信息

Frimley Health NHS Foundation Trust, Frimley Park Hospital, Portsmouth Road, Camberley, Surrey GU16 7UJ, United Kingdom.

出版信息

Foot Ankle Surg. 2016 Mar;22(1):17-25. doi: 10.1016/j.fas.2015.04.004. Epub 2015 Apr 24.

DOI:10.1016/j.fas.2015.04.004

PMID:26869495

Abstract

BACKGROUND

Surgery for midfoot arthritis is challenging and technically demanding, especially in the presence of deformity.

METHODS

Thirty patients (30 feet) with symptomatic midfoot arthritis and deformities, underwent arthrodesis, along with adjuvant procedures to realign the hindfoot and forefoot where needed.

RESULTS

Union was achieved in 28 out of 30 (93.3%) patients. Mean time to union was 12.9 weeks (range 10-18). Five patients (16.6%) developed postoperative complications and six patients (20%) required unplanned surgical procedures. Orthotics was needed postoperatively in 14 patients (34%). Fourteen out of 30 patients rated their outcome as excellent (47%), 13 out of 30 as good (43%) and 3 out of 30 (10%) as fair or poor.

CONCLUSIONS

Although the vast majority of patients rated their outcome as good or excellent, the foot is not completely normal, with residual pain from the adjacent joints, need for unplanned surgery and use of orthotics postoperatively.

摘要

背景

中足关节炎手术具有挑战性且技术要求高，尤其是在存在畸形的情况下。

方法

30例有症状的中足关节炎及畸形患者（30足）接受了关节融合术，并在必要时进行辅助手术以矫正后足和前足。

结果

30例患者中有28例（93.3%）实现了骨愈合。平均愈合时间为12.9周（范围10 - 18周）。5例患者（16.6%）出现术后并发症，6例患者（20%）需要进行计划外手术。14例患者（34%）术后需要使用矫形器。30例患者中有14例（47%）将其结果评为优秀，13例（43%）评为良好，3例（10%）评为一般或较差。