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使用带鳍逆行髓内棒治疗老年类风湿关节炎患者高度破坏关节的踝关节融合术：两例报告。

Ankle arthrodesis using a retrograde intramedullary rod with fins for highly destructive joints in elderly patients with rheumatoid arthritis: A report of two cases.

作者信息

Takahashi Shun, Kondo Naoki, Kijima Yasufumi, Kakutani Rika, Ishikawa Hajime, Kawashima Hiroyuki

机构信息

Division of Orthopedic Surgery Department of Regenerative and Transplant Medicine Niigata University Graduate School of Medical and Dental Science Niigata Japan.

Department of Rheumatology Niigata Rheumatic Center Shibata Japan.

出版信息

Clin Case Rep. 2022 Feb 7;10(2):e05348. doi: 10.1002/ccr3.5348. eCollection 2022 Feb.

DOI:10.1002/ccr3.5348
PMID:35154716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8819640/
Abstract

Herein, we present two cases of older adult patients with highly destructive changes in ankle joints (Larsen grade IV) who underwent retrograde intramedullary ankle nail fixation with fins. In both patients, bony union was achieved, and full weight-bearing was attained at 3 months after surgery.

摘要

在此，我们报告两例老年踝关节严重破坏（Larsen Ⅳ级）患者，他们接受了带鳍逆行髓内踝关节钉固定术。两名患者均实现了骨愈合，并在术后3个月达到完全负重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/0557eb15b799/CCR3-10-e05348-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/b14aa6f3aeb6/CCR3-10-e05348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/fa6da0235dd2/CCR3-10-e05348-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/f00062de9dc1/CCR3-10-e05348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/6897fb5564a9/CCR3-10-e05348-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/b5850870dd56/CCR3-10-e05348-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/99137805c494/CCR3-10-e05348-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/0557eb15b799/CCR3-10-e05348-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/b14aa6f3aeb6/CCR3-10-e05348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/fa6da0235dd2/CCR3-10-e05348-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/f00062de9dc1/CCR3-10-e05348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/6897fb5564a9/CCR3-10-e05348-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/b5850870dd56/CCR3-10-e05348-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/99137805c494/CCR3-10-e05348-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4991/8819640/0557eb15b799/CCR3-10-e05348-g006.jpg

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本文引用的文献

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J Foot Ankle Surg. 2020 Sep-Oct;59(5):984-987. doi: 10.1053/j.jfas.2019.08.038. Epub 2020 Jun 20.
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Rheumatoid arthritis in the elderly: Characteristics and treatment considerations.
老年人类风湿关节炎：特征与治疗注意事项。
Autoimmun Rev. 2020 Jun;19(6):102528. doi: 10.1016/j.autrev.2020.102528. Epub 2020 Mar 29.
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Prevalence of feet and ankle arthritis and their impact on clinical indices in patients with rheumatoid arthritis: a cross-sectional study.类风湿关节炎患者足部和踝关节关节炎的患病率及其对临床指标的影响：一项横断面研究。
BMC Musculoskelet Disord. 2019 Sep 11;20(1):420. doi: 10.1186/s12891-019-2773-z.
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Radiographic Outcomes of Mobile-Bearing Total Ankle Arthroplasty for Patients With Rheumatoid Arthritis.类风湿关节炎患者应用活动衬垫式全踝关节置换术的影像学结果。
Foot Ankle Int. 2019 Sep;40(9):1037-1042. doi: 10.1177/1071100719851469. Epub 2019 May 31.
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