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连枷足的肌腱固定术:一种新的手术技术。

Tenodesis in Flail Foot: A New Surgical Technique.

作者信息

Salkhori Omid, Mortazavi Sm Javad, Ayati Firoozabadi Mohammad

机构信息

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2024;12(11):805-809. doi: 10.22038/ABJS.2024.80330.3671.

DOI:10.22038/ABJS.2024.80330.3671
PMID:39850930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11756540/
Abstract

Flail foot is a condition characterized by a significant weakness in ankle dorsiflexion, resulting in limited or no active mobility in the ankle. To address this issue, we described a novel approach called tenodesis, which has been developed for ankle joint stabilization. This technique utilizes the patient's tendons to minimize potential complications. The primary focus of this method is to preserve ankle passive dorsiflexion, thereby maintaining the foot in a neutral position, helping prevent foot drop, reducing the risk of neuropathic ulcers, and keeping joint proprioception. Furthermore, maintaining passive ankle dorsiflexion is particularly important in societies where activities such as squatting are integral to daily life. The study aims to introduce a new surgical technique for flail foot.

摘要

连枷足是一种以踝关节背屈明显无力为特征的病症,导致踝关节主动活动受限或完全丧失。为解决这一问题,我们描述了一种名为腱固定术的新方法,该方法已被开发用于踝关节稳定。这项技术利用患者自身的肌腱来尽量减少潜在并发症。该方法的主要重点是保留踝关节被动背屈,从而使足部保持中立位,有助于预防足下垂,降低神经性溃疡的风险,并保持关节本体感觉。此外,在深蹲等活动是日常生活不可或缺一部分的社会中,保持踝关节被动背屈尤为重要。本研究旨在介绍一种治疗连枷足的新手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/724db3168f12/ABJS-12-805-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/2d42d2c4dc77/ABJS-12-805-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/549cc5f04769/ABJS-12-805-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/442e32103c5d/ABJS-12-805-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/724db3168f12/ABJS-12-805-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/2d42d2c4dc77/ABJS-12-805-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/549cc5f04769/ABJS-12-805-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/442e32103c5d/ABJS-12-805-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d67/11756540/724db3168f12/ABJS-12-805-g004.jpg

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本文引用的文献

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Comparing the Results of Total Ankle Arthroplasty Vs Tibiotalar Fusion (Ankle Arthrodesis) in Patients with Ankle Osteoarthritis since 2006 to 2020- A Systematic Review.2006年至2020年踝关节骨关节炎患者全踝关节置换术与胫距关节融合术(踝关节融合术)结果比较——一项系统评价
Arch Bone Jt Surg. 2022 Jun;10(6):470-479. doi: 10.22038/ABJS.2021.55790.2778.
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The use of allograft tendons in primary ACL reconstruction.同种异体肌腱在初次 ACL 重建中的应用。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1754-1770. doi: 10.1007/s00167-019-05440-3. Epub 2019 Mar 4.
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Anterior ankle arthrodesis with molded plate: technique and outcomes.
采用塑形钢板的踝关节前路融合术:技术与疗效
Arch Bone Jt Surg. 2014 Sep;2(3):203-9. Epub 2014 Sep 15.
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Management of a flail foot in cauda equina syndrome by neoligament tenodesis: a case report.采用新韧带固定术治疗马尾综合征中的连枷足:一例报告
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The Bridle procedure in the treatment of paralysis of the foot.
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Neuropathic foot ulceration in patients with myelodysplasia.骨髓发育异常患者的神经性足部溃疡
J Pediatr Orthop. 1992 Nov-Dec;12(6):786-8. doi: 10.1097/01241398-199211000-00016.
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The problems associated with flail feet in children and their treatment with orthoses.儿童连枷足相关问题及其矫形器治疗
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