Kim Jaeyoung, Kim Ji-Beom, Day Jonathan, Seilern Und Aspang Jesse, Lee Woo-Chun
Hospital for Special Surgery, New York, NY 10021, USA.
Seoul Foot and Ankle Center, Dubalo Orthopaedic Clinic, Seoul, Republic of Korea.
Foot Ankle Surg. 2021 Oct;27(7):820-826. doi: 10.1016/j.fas.2020.10.013. Epub 2020 Nov 5.
This study aimed to report the outcomes of coalition resection in adults with naviculo-medial cuneiform (NC) coalition.
Seventeen adults (20 feet) who underwent NC coalition resection were identified. The location and morphology of coalitions and five angular parameters, including medial arch sag angle (MASA), were assessed on weightbearing radiographs. Pre- and postoperative visual analogue scale and foot function index were evaluated for clinical outcomes.
Most feet (19 out of 20) had a coalition at the plantar-medial aspect, and there was no radiographic evidence of residual NC joint space compromise. There was no radiographic evidence of medial arch sag (MASA, p = 0.749) or recurrence at the final follow-up (21.7 months, range 12 to 48). Clinical scores improved significantly in all patients.
Resection of NC coalition in adults can be successful and provides an option to arthrodesis when conservative treatments have failed.
本研究旨在报告成人舟状骨 - 内侧楔骨（NC）融合切除术的结果。
确定了17例接受NC融合切除术的成人（20只脚）。在负重X线片上评估融合的位置和形态以及五个角度参数，包括内侧足弓 sag 角（MASA）。术前和术后采用视觉模拟量表和足部功能指数评估临床结果。
大多数脚（20只中的19只）在足底内侧有融合，并且没有影像学证据表明残留的NC关节间隙受损。在最后随访（21.7个月，范围12至48个月）时，没有影像学证据表明内侧足弓 sag（MASA，p = 0.749）或复发。所有患者的临床评分均显著改善。
成人NC融合切除术可以成功，并且在保守治疗失败时为关节融合术提供了一种选择。
