采用背侧闭合楔形截骨术治疗弗赖贝格病的手术管理
Surgical Management of Freiberg Disease by Dorsal Closing Wedge Osteotomy.
作者信息
Dhar S A, Mir N A, Dar T A
机构信息
Department of Orthopaedics, Sher -i - Kashmir Institute of Medical Sciences (SKIMS) Medical College Bemina, Srinagar, India.
出版信息
Malays Orthop J. 2020 Nov;14(3):161-165. doi: 10.5704/MOJ.2011.025.
INTRODUCTION
The purpose of the study was to assess the efficacy of the dorsal closing wedge osteotomy for the treatment of Freiburg's infraction.
MATERIAL AND METHODS
Twenty patients with Freiburg's infraction were admitted at our hospital over a period of six years. Patients with a normal plantar contour of the metatarsal head were included. All patients underwent a dorsal closing wedge osteotomy of the metatarsal.
RESULTS
The mean Leeds Movement Performance Index (LMPI) score was 84 (range 70-86). The mean metatarsal shortening was 2mm. the passive flexion restriction was 16° and extension restriction was 10°. Also, a strong negative correlation was found between Smillie classification and American Orthopaedic Foot and Ankle Score (AOFAS) final score (r's = -0.85, P < .001).
CONCLUSION
The dorsal closing wedge osteotomy is an efficient and reproducible method for the management of Freiburg's infraction.
引言
本研究的目的是评估背侧闭合楔形截骨术治疗弗赖贝格骨折的疗效。
材料与方法
六年间，我院收治了20例弗赖贝格骨折患者。纳入跖骨头足底轮廓正常的患者。所有患者均接受了跖骨背侧闭合楔形截骨术。
结果
利兹运动表现指数（LMPI）平均评分为84分（范围70 - 86分）。跖骨平均缩短2mm。被动屈曲受限16°，伸展受限10°。此外，斯米利分类与美国矫形足踝协会评分（AOFAS）最终评分之间存在强负相关（r's = -0.85，P <.001）。
结论
背侧闭合楔形截骨术是治疗弗赖贝格骨折的一种有效且可重复的方法。
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