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跟骨-舟状骨联合伴副外踝前结节的治疗。

Treatment of calcaneonavicular coalition accompanied by an accessory anterolateral talar facet.

机构信息

Karabük Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, 78100 Karabük, Türkiye.

出版信息

Jt Dis Relat Surg. 2022;33(1):245-248. doi: 10.52312/jdrs.2022.496. Epub 2022 Mar 28.

Abstract

The association of accessory anterolateral talar facet (AALTF) and tarsal coalition has been reported recently. However, there is no report in the literature examining the clinical outcomes of operative treatment simultaneously addressing both AALTF and tarsal coalition. In this case series, we report the functional outcomes of operative treatment for both AALTF and calcaneonavicular coalition (CNC). Four male patients were admitted to our institution with foot pain. Radiographic examination revealed CNC and accompanying AALTF in all patients. Five feet of these four patients were operated simultaneously for AALTF and CNC. At the final follow-up, the mean Visual Analog Scale score was 1.7±2.4 (range, 0 to 5.5), the mean American Orthopedic Foot and Ankle Society score was 89.6±11.5 (range, 69 to 97), and the mean Foot Function Index was 15.4±19.1 (range, 0 to 43). In conclusion, simultaneous resection of CNC with AALTF seems to have good postoperative clinical outcomes. As AALTF can emerge along with CNC, every patient scheduled for CNC resection should be evaluated for AALTF.

摘要

最近有报道称副外踝前结节(AALTF)与跗骨联合之间存在关联。然而,目前尚无文献报道同时治疗 AALTF 和跗骨联合的手术治疗的临床结果。在本病例系列中,我们报告了同时治疗 AALTF 和跟舟骨联合(CNC)的手术治疗的功能结果。4 名男性患者因足部疼痛而入院。影像学检查显示所有患者均存在 CNC 和伴随的 AALTF。这 4 名患者中有 5 只脚同时接受了 AALTF 和 CNC 的手术治疗。在最后一次随访时,平均视觉模拟评分(VAS)为 1.7±2.4(范围,0 至 5.5),美国矫形足踝协会(AOFAS)评分平均为 89.6±11.5(范围,69 至 97),足部功能指数(FFI)平均为 15.4±19.1(范围,0 至 43)。总之,同时切除 CNC 和 AALTF 似乎具有良好的术后临床结果。由于 AALTF 可能与 CNC 同时出现,因此,每个计划接受 CNC 切除的患者都应评估 AALTF。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/9057527/d2343a720226/JDRS-2022-33-1-245-248-F1.jpg

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