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三关节融合术。一项关键的长期综述。

Triple arthrodesis. A critical long-term review.

作者信息

Angus P D, Cowell H R

出版信息

J Bone Joint Surg Br. 1986 Mar;68(2):260-5. doi: 10.1302/0301-620X.68B2.3958012.

DOI:10.1302/0301-620X.68B2.3958012
PMID:3958012
Abstract

The results of triple arthrodesis performed in 80 feet and followed for an average of 13 years are reviewed. Although the majority of patients were very pleased, the results of objective assessment were less favourable. There was a high incidence of degenerative joint changes in the ankle and midfoot and also of pseudarthrosis, avascular necrosis of the talus and residual deformity. Pre-operative rigid equinovarus deformity produced the majority of the poor results. It is suggested that bony resection alone might not be the best means of correcting severe equinus.

摘要

回顾了80例接受三关节融合术且平均随访13年的结果。尽管大多数患者非常满意,但客观评估结果却不太理想。踝关节和中足出现退行性关节改变、假关节、距骨缺血性坏死及残留畸形的发生率较高。术前僵硬的马蹄内翻畸形导致了大多数不良结果。有人提出,单纯的骨切除可能不是矫正严重马蹄足的最佳方法。

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