[1]张官锋,刘宣毅△,李冕,等.踝上截骨和距下关节融合术治疗伴距下关节炎的内翻型踝关节炎效果及术后足踝功能随访分析[J].中国中医骨伤科杂志,2024,32(12):58-64.[doi:10.20085/j.cnki.issn1005-0205.241211 ]
　ZHANG Guanfeng,LIU Xuanyi,LI Mian,et al.Effect of Ankle Osteotomy and Subtalar Joint Fusion on Inverted Ankle Arthritis Accompanied by Subtalar Arthritis and the Follow-up Analysis of Postoperative Foot and Ankle Functions[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(12):58-64.[doi:10.20085/j.cnki.issn1005-0205.241211 ]
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踝上截骨和距下关节融合术治疗伴距下关节炎的内翻型踝关节炎效果及术后足踝功能随访分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年12期
页码:
58-64
栏目:
临床论著
出版日期:
2024-12-15

文章信息/Info

Title:
Effect of Ankle Osteotomy and Subtalar Joint Fusion on Inverted Ankle Arthritis Accompanied by Subtalar Arthritis and the Follow-up Analysis of Postoperative Foot and Ankle Functions
文章编号:
1005-0205(2024)12-0058-07
作者:
张官锋1; 刘宣毅1△; 李冕1; 王亚军1; 徐亦鹏1; 闫石1
1沧州市人民医院(河北 沧州,061000)
Author(s):
ZHANG Guanfeng1; LIU Xuanyi1△; LI Mian1; WANG Yajun1; XU Yipeng1; YAN Shi1
1Cangzhou People's Hospital,Cangzhou 061000,Hebei China.
关键词:
踝上截骨;  距下关节融合术;  距下关节炎;  内翻型踝关节炎;  足踝功能
Keywords:
ankle osteotomy;  subtalar joint fusion surgery;  subtalar arthritis;  inverted ankle arthritis;  ankle function
分类号:
R687.3
DOI:
10.20085/j.cnki.issn1005-0205.241211
文献标志码:
A
摘要:
目的:探究踝上截骨和距下关节融合术治疗伴距下关节炎的内翻型踝关节炎效果及术后足踝功能。方法:用随机数字表法将2017年1月至2022年1月收治的60例伴距下关节炎的内翻型踝关节炎患者分为对照组和观察组(各30例),对照组手术方式为踝上截骨术,观察组手术方式为踝上截骨联合距下关节融合术,比较两组患者的足踝功能、疼痛程度、临床疗效和并发症发生情况。结果:1年后随访观察组AOFAS评分、踝关节活动度(AROM)、距骨倾斜角(TT)、胫骨前侧关节面角(TAS)、胫骨侧位关节面角(TLS)、胫骨踝穴角(TC)均明显优于对照组(P<0.05); 1年后随访两组视觉模拟量表(VAS)评分均有降低,且观察组明显更低(P<0.05); 观察组和对照组临床总有效率分别为100.00%(30/30)和80.00%(24/30),观察组临床疗效更好(P<0.05); 观察组并发症发生率(13.33%)和对照组并发症发生率(23.33%)差异无统计学意义(P>0.05)。结论:踝上截骨联合距下关节融合术能够明显提高伴距下关节炎的内翻型踝关节炎患者的临床疗效和术后足踝功能。
Abstract:
Objective:To investigate the effect of ankle osteotomy and subtalar joint fusion on inverted ankle arthritis accompanied by subtalar arthritis and its impacts on postoperative foot and ankle functions.Methods:A random number table method was used to divide 60 patients with inverted ankle arthritis accompanied by subtalar arthritis admitted from January 2017 to January 2022 into control group and observation group,with 30 patients in each group.The control group underwent ankle osteotomy,while the observation group underwent ankle osteotomy combined with subtalar joint fusion.The foot and ankle functions,pain level,clinical efficacy,and incidence of complications of the two groups were compared.Results:After one year of follow-up,the AOFAS score,ankle range of motion(AROM),talar tilt angle(TT),tibial articular surface angle(TAS),tibial lateral surface angle(TLS),and tibiocrural angle(TC)of the observation group were greatly better than those of the control group(P<0.05); after one year of follow-up,the visual analogue scale(VAS)scores of both groups decreased,and the observation group had greatly lower scores(P<0.05); the total clinical effective rates were 100.00%(30/30)and 80.00%(24/30)in the observation group and the control group,respectively,with greatly higher clinical efficacy in the observation group(P<0.05); there was no statistically great difference in the incidence of complications between the observation group(13.33%)and the control group(23.33%)(P>0.05).Conclusion:Ankle osteotomy combined with subtalar joint fusion can effectively improve the clinical efficacy and postoperative ankle function of patients with inverted ankle arthritis accompanied by subtalar arthritis.

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备注/Memo

备注/Memo:
基金项目:河北省卫生健康委科研项目(20220328)
△通信作者 E-mail:18031792125@163.com
更新日期/Last Update: 2024-12-05