Barrett G R, Meyer L C, Bray E W, Taylor R G, Kolb F J
Foot Ankle. 1981 Mar;1(5):279-83. doi: 10.1177/107110078100100505.
Eighty-three pantalar arthrodeses in 69 patients performed at the Shriners Hospital for Crippled Children, Greenville, South Carolina, between 1941 and 1977 were evaluated. Follow-up was from 1 to 33 years. Diagnoses included poliomyelitis, myelodysplasia, arthrogryposis, clubfeet, and extremity or spinal cord trauma. Methods of fusion were one-stage pantalar arthrodesis, two-stage triple ankle fusion, one-stage completion of prior tarsal fusion, and one-stage denudation of the talus. Pantalar arthrodesis is successful in the paralytic sensitive foot with a stable knee and there is no greater incidence of nonunion in the one-stage (Hunt-Thompson) procedure than in the two-stage procedure. Complications and failure of fusion are common in the insensitive foot.
对1941年至1977年间在南卡罗来纳州格林维尔市的施莱宁儿童医院为69例患者实施的83例距下关节融合术进行了评估。随访时间为1至33年。诊断包括小儿麻痹症、脊髓发育不良、先天性多发性关节挛缩症、马蹄内翻足以及肢体或脊髓损伤。融合方法包括一期距下关节融合术、二期三踝关节融合术、一期完成先前的跗骨融合术以及一期距骨剥脱术。距下关节融合术对于膝关节稳定的麻痹性敏感足是成功的，并且一期（亨特-汤普森）手术的骨不连发生率并不高于二期手术。在感觉迟钝的足部，融合的并发症和失败很常见。
