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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Evaluation of Fixation Techniques for Metatarsocuneiform Arthrodesis
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Evaluation of Fixation Techniques for Metatarsocuneiform Arthrodesis

机译：跖骨整流关节瘤的固定技术评价

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摘要

First metatarsocuneiform joint arthrodesis has been used in foot and ankle surgery for the treatment of hallux abductovalgus deformity, among other pedal pathologic entities. The goal of the present retrospective study was to compare the fusion rates and complications of an intraplate compression screw fixation, crossing solid core screw fixation, and a single interfragmentary screw with a simple locking plate. All procedures were performed by a single surgeon, and all patients received an identical postoperative protocol. A medical record review was performed of 147 evenly distributed surgical methods. All patients were non-weightbearing by protocol for 4 weeks. The patient covariates included sex, age, nicotine status, osteoporosis, and diabetes. These variables were balanced among the treatment groups and were noncontributory, with the exception of sex. Male patients had a 6 times greater odds of experiencing nonunion. The overall nonunion rate was 6.7%, with 4% symptomatic and requiring revision. The individual nonunion rates for each method were 2% for intraplate compression screw fixation, 5% for single interfragmentary screw with locking plate fixation, and 9% for crossing solid core screw fixation. None of the differences reached statistical significance. The corresponding hardware removal rates were 12%, 11%, and 0%. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：首先跖骨整流性关节关节术中已用于脚踝手术，用于治疗Hallux AbductovalGus畸形，以及其他踏板病理实体。目前回顾性研究的目标是将腔内压缩螺钉固定，穿越固体芯螺钉固定的融合速率和并发症，以及带有简单锁定板的单个相互作用的螺钉。所有程序均由单个外科医生进行，所有患者均接受相同的术后方案。对147例均匀分布的手术方法进行了医疗记录综述。所有患者均不加重4周。患者协变量包括性别，年龄，尼古丁地位，骨质疏松症和糖尿病。这些变量在治疗组中平衡，并且是非法的，除了性别。男性患者有6倍的体验不间断的巨头。整体非疾病率为6.7％，有4％的症状和需要修订。对于腔内压缩螺钉固定，每种方法的个体非连续速率为2％，对于具有锁定板固定的单个相互作用螺钉，5％，并且用于交叉固体芯螺钉固定的9％。没有差异达到统计学意义。相应的硬件去除率为12％，11％和0％。 （c）2017由美国脚和踝外科医院。版权所有。

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