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外侧柱延长的三关节融合术治疗重度扁平外翻畸形

Triple arthrodesis with lateral column lengthening for treatment of severe planovalgus deformity.

作者信息

Horton G A, Olney B W

机构信息

Kansas University Medical Center, Section of Orthopaedic Surgery, Kansas City 66160-7387, USA.

出版信息

Foot Ankle Int. 1995 Jul;16(7):395-400. doi: 10.1177/107110079501600703.

DOI:10.1177/107110079501600703
PMID:7550951
Abstract

Triple arthrodesis with lateral column lengthening through the calcaneocuboid joint was performed on 22 feet in 14 patients. The primary indication for surgery was severe symptomatic planovalgus deformity unresponsive to conservative measures. All patients achieved solid fusion within 12 weeks. No patient had no decline in ambulatory status. Excellent correction of deformity was achieved and maintained with an average correction of the talus first metatarsal angle of 25 degrees in both the AP and lateral planes. Triple arthrodesis with lateral column lengthening provides for reliable arthrodesis and allows correction of severe planovalgus deformity while maintaining foot length.

摘要

对14例患者的22只足进行了通过跟骰关节延长外侧柱的三关节融合术。手术的主要指征是对保守治疗无反应的严重症状性扁平外翻畸形。所有患者均在12周内实现了牢固融合。没有患者的行走状态下降。畸形得到了良好的矫正并得以维持,在前后位和侧位平面上距骨第一跖骨角平均矫正25度。通过延长外侧柱的三关节融合术可实现可靠的关节融合,并在保持足长的同时矫正严重的扁平外翻畸形。

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Surgical technique: Medial column arthrodesis in rigid spastic planovalgus feet.
手术技术:僵硬痉挛性足内翻平足的内侧柱融合。
Clin Orthop Relat Res. 2012 May;470(5):1334-43. doi: 10.1007/s11999-011-2185-3.