Cao Zhen Lu, Wang Chen Han, Ding Xiao Heng, Wang Zheng Dan, Dong Quan Yu
Department of Hand, Foot and Microsurgery, the Affiliated Hospital of Qingdao University, No. 59, Haier Road, Qingdao City, 266000, Shandong Province, China.
Int Orthop. 2024 Aug;48(8):2145-2151. doi: 10.1007/s00264-024-06195-4. Epub 2024 Apr 29.
We retrospectively evaluated the characteristics of these patients and the effectiveness of ankle arthrodesis in the treatment of ankle arthritis caused by Kashin-Beck disease (KBD).
A retrospective study of KBD patients with ankle osteoarthritis who underwent ankle arthrodesis between December 2012 and January 2022 was performed. A total of 46 patients were included. The general characteristics, clinical manifestations and imaging features of the patients were recorded and summarized. measured using the VAS score, and ankle function was assessed by the AOFAS ankle-hindfoot score.
Multiple subchondral cystic changes were found in 42(91.3%) patients. The VAS scores for both resting and weight-bearing conditions were 6.28 ± 1.30 vs. 2.09 ± 1.12 (P < .001) and 6.87 ± 1.01 vs. 2.17 ± 0.98 (P < .001), respectively. The AOFAS scores were 59.17 ± 5.50 and 88.39 ± 1.42, respectively (P < .001).
The subchondral multiple cystic transformation of the ankle KBD has a certain suggestive role.Arthrodesis is an effective method to reduce ankle pain and improve ankle function in KBD patients with ankle osteoarthritis.
我们回顾性评估了这些患者的特征以及踝关节融合术治疗大骨节病（KBD）所致踝关节关节炎的有效性。
对2012年12月至2022年1月期间接受踝关节融合术的KBD踝关节骨关节炎患者进行回顾性研究。共纳入46例患者。记录并总结患者的一般特征、临床表现和影像学特征。采用视觉模拟评分法（VAS）进行测量，并用美国足踝外科协会（AOFAS）踝-后足评分评估踝关节功能。
42例（91.3%）患者出现多个软骨下囊性改变。静息和负重状态下的VAS评分分别为6.28±1.30对2.09±1.12（P<0.001）和6.87±1.01对2.17±0.98（P<0.001）。AOFAS评分分别为59.17±5.50和88.39±1.42（P<0.001）。
踝关节KBD的软骨下多发囊性变具有一定的提示作用。踝关节融合术是减轻KBD踝关节骨关节炎患者踝关节疼痛和改善踝关节功能的有效方法。
