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[指间关节融合术的研究进展]

[Research progress of interphalangeal arthrodesis].

作者信息

Xiao Fajiao, Yang Yunfeng

机构信息

Department of Ankle Surgery, Tongji Hospital of Tongji University, Shanghai, 200065, P.R.China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Sep 15;34(9):1195-1199. doi: 10.7507/1002-1892.201910093.

DOI:10.7507/1002-1892.201910093
PMID:32929916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8171721/
Abstract

OBJECTIVE

To review the research progress of interphalangeal arthrodesis in the treatment of interphalangeal joint deformity.

METHODS

The literature about interphalangeal arthrodesis at home and abroad was extensively consulted, and the indications, fusion methods, fixation methods, complications, and so on were summarized and analysed.

RESULTS

The indications of interphalangeal arthrodesis are hammer toe, claw toe, and mallet toe. From the different forms of fusion surface, fusion methods include end-to-end, peg-in-hole, conical reamer type, and V-shape arthrodesis. There are three kinds of fixation methods: Kirschner wire fixation, stainless-steel wire suture fixation, and intramedullary fixation, and there are many kinds of intramedullary fixation. The complications of interphalangeal arthrodesis include vascular injury, fixation related complications, and postoperative complications.

CONCLUSION

Interphalangeal arthrodesis is a good way to correct some deformities of toes, but the incidence of various complications can not be ignored, and there is still a lack of clinical research on interphalangeal arthrodesis.

摘要

目的

回顾指间关节融合术治疗指间关节畸形的研究进展。

方法

广泛查阅国内外有关指间关节融合术的文献,对其适应证、融合方法、固定方法、并发症等进行总结分析。

结果

指间关节融合术的适应证为槌状趾、爪形趾和锤状趾。从融合面的不同形式来看,融合方法包括端端融合、榫孔融合、锥形扩孔钻型融合和V形融合术。固定方法有三种:克氏针固定、不锈钢丝缝合固定和髓内固定,髓内固定有多种类型。指间关节融合术的并发症包括血管损伤、与固定相关的并发症以及术后并发症。

结论

指间关节融合术是矫正某些趾畸形的良好方法,但各种并发症的发生率不容忽视,且目前关于指间关节融合术仍缺乏临床研究。

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本文引用的文献

1
Hammertoe Correction With K-Wire Fixation Compared With Percutaneous Correction.克氏针固定与经皮矫正治疗锤状趾的比较
Foot Ankle Spec. 2017 Oct;10(5):421-427. doi: 10.1177/1938640016681069. Epub 2016 Dec 4.
2
Correction of Hammertoe Deformity With Novel Intramedullary PIP Fusion Device Versus K-Wire Fixation.新型髓内近端指间关节融合装置与克氏针固定治疗锤状趾畸形的对比
Foot Ankle Int. 2017 Feb;38(2):174-180. doi: 10.1177/1071100716671883. Epub 2016 Oct 22.
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Interphalangeal Arthrodesis of the Toe With a New Radiolucent Intramedullary Implant (Toegrip).
Foot Ankle Spec. 2015 Dec;8(6):520-4. doi: 10.1177/1938640015599031. Epub 2015 Aug 10.
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Intramedullary Fixation System for the Treatment of Hammertoe Deformity.用于治疗槌状趾畸形的髓内固定系统
J Foot Ankle Surg. 2015 Sep-Oct;54(5):910-6. doi: 10.1053/j.jfas.2015.04.004. Epub 2015 May 28.
5
Use of Smart Toe(©) implant for small toe arthrodesis: A smart concept?智能脚趾(©)植入物用于小趾关节融合术:一个明智的概念?
Foot Ankle Surg. 2015 Jun;21(2):108-12. doi: 10.1016/j.fas.2014.10.003. Epub 2014 Nov 4.
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Correction of Hammer Toe Deformity of Lateral Toes With Subtraction Osteotomy of the Proximal Phalanx Neck.近端趾骨颈部截骨术矫正外侧趾锤状趾畸形
J Foot Ankle Surg. 2015 Jul-Aug;54(4):601-6. doi: 10.1053/j.jfas.2014.11.013. Epub 2015 Mar 5.
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Hammertoe correction with k-wire fixation.克氏针内固定矫正槌状趾
Foot Ankle Int. 2015 May;36(5):494-502. doi: 10.1177/1071100714568013. Epub 2015 Feb 12.
8
Digital arthrodesis.数字关节固定术。
Clin Podiatr Med Surg. 2013 Jul;30(3):271-82. doi: 10.1016/j.cpm.2013.04.006.
9
Smart toe® implant versus buried Kirschner wire for proximal interphalangeal joint arthrodesis: a comparative study.Smart toe®植入物与克氏针内固定用于近端指间关节融合术的比较研究
J Foot Ankle Surg. 2013 Sep-Oct;52(5):580-3. doi: 10.1053/j.jfas.2013.02.007. Epub 2013 Jun 14.
10
Using a bone allograft to fixate proximal interphalangeal joint arthrodesis.使用同种异体骨固定近节指间关节融合术。
Foot Ankle Spec. 2013 Apr;6(2):132-6. doi: 10.1177/1938640013480237.