Fu Yongbin, Mei Siwei, Ma Mingming, Ruan Xiaojun, Ning Tao
Department of Microsurgery and Reconstruction, Fuyang people's Hospital Affiliated to Anhui Medical University, Fuyang, Anhui Province, China.
Front Surg. 2025 May 7;12:1553820. doi: 10.3389/fsurg.2025.1553820. eCollection 2025.
This study aims to retrospectively analyze the clinical efficacy of ankle arthrography-assisted modified ankle capsular repair for treating recurrent bunion cysts.
Clinical data from 16 cases of recurrent bunion cysts, treated between December 2021 and June 2024, were collected. All patients underwent intraoperative ankle arthrography with cyst excision, followed by ankle capsule repair based on the arthrography results. Patient gender, age, the presence of ankle arthrography during interstitial traffic with the cyst, and any postoperative complications were documented. Clinical outcomes were monitored during the postoperative follow-up.
In 14 out of 16 patients, ankle arthrography revealed communication of the contrast medium with the bunion cyst through the tendon sheath of the Flexor hallucis longus (FHL) tendon. In the remaining two patients, no contrast medium spillage was observed. The surgical incisions healed without infection, and a follow-up period of 3-24 months revealed only one recurrence.
Ankle arthrography-assisted modified ankle capsule repair is an effective method to reduce recurrence rates in patients with recurrent bunion cysts, particularly those communicating with the ankle joint via the FHL tendon sheath.
本研究旨在回顾性分析踝关节造影辅助改良踝关节囊修复术治疗复发性拇囊炎囊肿的临床疗效。
收集2021年12月至2024年6月期间治疗的16例复发性拇囊炎囊肿患者的临床资料。所有患者在术中进行踝关节造影并切除囊肿，然后根据造影结果进行踝关节囊修复。记录患者的性别、年龄、术中踝关节造影时囊肿与关节腔的交通情况以及术后任何并发症。术后随访期间监测临床结果。
16例患者中有14例踝关节造影显示造影剂通过拇长屈肌腱（FHL）腱鞘与拇囊炎囊肿相通。其余2例患者未观察到造影剂外漏。手术切口愈合良好，无感染，3至24个月的随访期内仅发现1例复发。
踝关节造影辅助改良踝关节囊修复术是降低复发性拇囊炎囊肿患者复发率的有效方法，尤其是那些通过FHL腱鞘与踝关节相通的患者。
