[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.
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.
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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