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距骨切除术。长期随访评估。

Talectomy. A long-term follow-up evaluation.

作者信息

Cooper R R, Capello W

出版信息

Clin Orthop Relat Res. 1985 Dec(201):32-5.

PMID:4064417
Abstract

Of 26 talectomies with an average follow-up period of 20 years, 24 (92%) were judged to have satisfactory results. The average age at surgery was 10.25 years; however, there is no ideal age for performing talectomies. The results seem to be equally good regardless of the preoperative deformity. The procedure did produce stable, painless plantigrade feet. Talectomy has a place in orthopedic surgery today. However, this drastic procedure is indicated only in those feet where the deformity is rigid and severe, where a plantigrade foot is required in patients who are younger than the age usually recommended for triple arthrodesis, and where experience has shown that other, less radical approaches would be unsatisfactory.

摘要

在26例平均随访期为20年的距骨切除术病例中,24例(92%)被判定结果满意。手术时的平均年龄为10.25岁;然而,对于距骨切除术而言,并没有理想的手术年龄。无论术前畸形情况如何,结果似乎都同样良好。该手术确实能产生稳定、无痛的足底着地的足部。距骨切除术在当今的矫形外科手术中有一席之地。然而,这种激进的手术仅适用于那些畸形僵硬且严重、年龄小于通常建议进行三关节融合术的患者需要足底着地的足部,以及经验表明其他不太激进的方法效果不佳的情况。

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