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用于择期和创伤后足踝畸形的距下关节融合术

Subtalar Joint Arthrodesis for Elective and Posttraumatic Foot and Ankle Deformities.

作者信息

DiDomenico Lawrence A, Butto Danielle N

机构信息

Northside Hospital, Youngstown, OH, USA; Ankle and Foot Care Centers, KSU College of Podiatric Medicine, 8175 Market Street, Youngstown, OH 44512, USA; St. Elizabeth Hospital, Youngstown, OH, USA.

St. Francis Hospital and Medical Center, Hartford, CT, USA.

出版信息

Clin Podiatr Med Surg. 2017 Jul;34(3):327-338. doi: 10.1016/j.cpm.2017.02.004. Epub 2017 Apr 22.

DOI:10.1016/j.cpm.2017.02.004
PMID:28576192
Abstract

Subtalar joint arthrodesis is a procedure used in posttraumatic arthritis, osteoarthritis, tarsal coalition management, posterior tibial tendon dysfunction, and inflammatory arthropathies, and can be used in deformity correction. The goals of the procedure are to eliminate pain, improve function, restore stability, and realign the hind foot. The procedure has high patient satisfaction with low complications while preserving motion in adjacent tarsal joints. Joint preparation is important and time should be spent preparing the joint for successful arthrodesis and the fixation construct needs to be done well and effectively to provide a solid Arbeitsgemeinschaft für Osteosynthesefragen (AO) construct for good results.

摘要

距下关节融合术是一种用于创伤后关节炎、骨关节炎、跗骨联合症治疗、胫后肌腱功能障碍以及炎性关节病的手术,也可用于畸形矫正。该手术的目标是消除疼痛、改善功能、恢复稳定性以及使后足重新对线。该手术患者满意度高,并发症少,同时保留相邻跗骨关节的活动度。关节准备很重要,应花费时间为成功的关节融合术准备关节,固定结构需要做得良好且有效,以提供一个稳固的AO(骨科内固定协会)结构,从而获得良好效果。

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