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跗跖(Lisfranc)关节退行性关节炎的骨栓关节融合术。

Dowel arthrodesis for degenerative arthritis of the tarsometatarsal (Lisfranc) joints.

作者信息

Johnson J E, Johnson K A

出版信息

Foot Ankle. 1986 Apr;6(5):243-53. doi: 10.1177/107110078600600505.

DOI:10.1177/107110078600600505
PMID:3710322
Abstract

A late complication of fracture with dislocation involving the tarsometatarsal joints of the foot (Lisfranc fracture) is progressive degenerative arthritis and pain. A dowel-graft arthrodesis technique is described that uses percutaneous bone graft from the iliac crest supplemented by crossed-wire fixation. The cases of 15 patients who underwent surgery between 1979 and 1982 in which this technique was used were reviewed retrospectively. These patients suffered from painful posttraumatic degenerative arthritis after tarsometatarsal joint fracture-dislocation. Follow-up evaluation (mean, 37 months) of 13 of the 15 patients demonstrated satisfactory pain relief in 11 patients, whereas 2 were dissatisfied. Complications included three instances of nonunion and one postsurgical reflex sympathetic dystrophy syndrome.

摘要

足部跗跖关节骨折脱位(Lisfranc骨折)的晚期并发症是进行性退行性关节炎和疼痛。本文描述了一种髓内移植关节固定术,该技术采用经皮取自髂嵴的骨移植,并辅以交叉钢丝固定。回顾性分析了1979年至1982年间采用该技术进行手术的15例患者的病例。这些患者在跗跖关节骨折脱位后患有创伤后疼痛性退行性关节炎。对15例患者中的13例进行随访评估(平均37个月),结果显示11例患者疼痛缓解情况令人满意,而2例患者不满意。并发症包括3例骨不连和1例术后反射性交感神经营养不良综合征。

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