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首页> 中文期刊> 《中华创伤杂志（英文版）》 >Trephine arthrodesis of subtalar joints: operative tech-nique and clinical effect

Trephine arthrodesis of subtalar joints: operative tech-nique and clinical effect

         
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摘要

Objective: To review the operative technique of tre-phine arthrodesis of subtalar joints and evaluate its clinical effect.Methods: From June 1998 to October 2006, we per-formed subtalar arthrodesis on 38 feet of 34 patients for a variety of painful disorders of hindfoot with trephine technique. Clinical and radiologic follow-up evaluations were performed for 45 months on average (range, 21 to 110 months) after arthrodesis.Results: No severe complications were found in this study except one patient with dropfoot and two with skin necrosis. The average anlde-hindfoot scores of the American Orthopaedic Foot and Ankle Society (AOFAS) was improved from 48.3 preoperatively to 79.2 postoperatively (P<0.05). The pain scores of visual analogue scales (VAS) decreased from 7.2 (range, 3 to 10) preoperatively to 2.6 (range,1 to 6) post-operatively (P<0.05). Subjectively, the patients experienced improvements in pain, function, cosmesis, and shoewearing.Overall, 30 patients were satisfied and all patients would have this procedure again under similar circumstances. Post-operative radiology showed that complete union was found in 35 feet 6 months after operation, with the successful union rate of 92.1%. There was an increase in arthritic scores for 5 ankles, 4 talonavieular joints, 4 calcaneocuboid joints, and 4 midfoot joints. Nonunion occurred in 3 subtalar joints with anterolaterai approach, which required revision arthrodesis.Conclusion: Isolated subtalar arthrodesis with tre-phine method is an effective procedure for painful malalignment of hindfoot.

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  • 来源
    《中华创伤杂志（英文版）》 |2009年第4期|218-222|共5页
  • 作者

    LIU Hua-shui; DUAN Sheng-jun; LIU Shi-dong; XIE Xin-min; LUAN Tao; LI Lai-feng; BU Jin-peng; ZHAO Xue-chun;

  • 作者单位

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

    Department of Orthopedic Surgery, Third People's Hos-pital of Jinan, Jinan 250101, China;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 外科学;
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