[1]张晨威 费骏△ 曹天一 胡金平.环形外固定支架治疗踝关节结核30例[J].中国中医骨伤科杂志,2020,28(08):54-57.
点击复制

环形外固定支架治疗踝关节结核30例()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年08期
页码:
54-57
栏目:
临床报道
出版日期:
2020-08-10

文章信息/Info

文章编号:
1005-0205(2020)08-0054-04
作者:
张晨威1 费骏2△ 曹天一1 胡金平2
1浙江中医药大学第二临床医学院(杭州,310053) 2浙江中医药大学附属中西结合医院
关键词:
踝关节结核 环形外固定架 踝关节融合术
分类号:
R681.8
文献标志码:
B
摘要:
目的:观察踝关节结核病灶清除后应用环形外固定架治疗全踝关节结核的临床疗效。方法:回顾性分析2015年10月至2019年5月诊断为踝关节结核的患者共30例,采用Ilizarov环形外固定支架固定成形治疗,术后继续规律抗结核治疗,观察患者治疗前后VAS评分及踝关节功能 Baird-Jackson评分。结果:观察患者治疗前后的踝关节VAS评分及踝关节功能 Baird-Jackson评分差异有统计学意义(P<0.05)。结论:应用Ilizarov环形外固定架治疗踝关节结核疗效良好,具有操作简单、应用方便、固定稳定、提高踝关节融合率等优点,有利于患者踝关节疼痛等症状减轻及功能恢复,极具临床推广应用价值。

参考文献/References:

[1] KYU H H,MADDISON E R,HENRY N J,et al.The global burden of tuberculosis:results from the global burden of disease study 2015[J].Lancet Infectious Diseases,2018,18(3):261-284.
[2] AGHOUTANE E M,SALAMA T,EL FEZAZI R.Tuberculosis of the wrist in children:a rare manifestation[J].Int J Mycobacteriol,2017,6(1):106-107.
[3] DHILLON M S,NAGI O N.Tuberculosis of the foot and ankle[J].Clin Orthop Relat Res,2002,398:107-113.
[4] RAMANATH V S,DAMRON T A,AMBROSE J L,et al.Tuberculosis of the hip as the presenting sign of hiv and simulating pigmented villonodular synovitis[J].Skeletal Radiology,2002,31(7):426-429.
[5] WOO JIN C,SEUNG HWAN H,JONG HWAN J,et al.Diagnostic dilemma of tuberculosis in the foot and ankle[J].Foot & Ankle International,2008,29(7):711-715.
[6] HOCKHAUSEN K,ODEGAARD K,BOERSMA B,et al.A review of extrapulmonary tuberculosis[J].S D Med,2018,71(3):116-119.
[7] SAMUEL S,BOOPALAN P R J V C,ALEXANDER M,et al.Tuberculosis of and around the ankle[J].Journal of Foot & Ankle Surgery,2011,50(4):466-472.
[8] FERNANDO B A,MARIA JESúS G M,ROSA M,et al.Multidrug-resistant tuberculosis of the ankle:case report[J].Foot & Ankle International,2006,27(8):642-644.
[9] PEABOD Y,CHARLES W.Tuberculous osteomyelitis[J].Journal of Materials Chemistry,2010,20(41):9025.
[10] SERAFINI A,TAN L,HORSWELL S,et al.Mycobacterium tuberculosis requires glyoxylate shunt and reverse methylcitrate cycle for lactate and pyruvate metabolism[J].Mol Microbiol,2019,112(4):1284-1307.
[11] HUANG L,NAZAROVA E V,TAN S,et al.Growth of mycobacterium tuberculosis in vivo segregates with host macrophage metabolism and ontogeny[J].Journal of Experimental Medicine,2018,215(4):1135-1152.
[12] PEREIRA J,ANOOP S,PETTAH G J.A case of chronic inflammation of the ankle joint with subtle signs of inflammation:a rare presentation of tuberculosis ankle[J].Journal of Orthopaedic Case Reports,2017,7(1):87-90.
[13] 徐金武,谢宝钢.踝关节结核误诊误治原因分析[J].实用骨科杂志,2002,8(2):139-140.
[14] 彭旭,段小军,杨柳,等.踝关节镜下微创治疗踝关节结核的临床疗效[J].中华关节外科杂志:电子版,2012,6(4):70-76.
[15] KLOUCHE S,EL-MASRI F,GRAFF W,,et al.Arthrodesis with internal fixation of the infected ankle[J].Journal of Foot & Ankle Surgery,2011,50(1):25-30.
[16] GRASS R,RAMMELT S,BIEWENER A,et al.Arthrodesis of the ankle joint[J].Clinics in Podiatric Medicine & Surgery,2004,21(2):161-178.
[17] 刘玉杰,陈继营,蔡谞,等.关节镜辅助下足踝关节融合术[J].中华创伤杂志,2005,21(5):333-335.
[18] SAMUEL S,MENDICINO,ALEXIS L,et al.Open ankle arthrodesis[J].Clinics in Podiatric Medicine and Surgery,2017,34(4):489-502.
[19] 杨永强,李军,万值颖,等.Ilizarov技术治疗下肢长骨感染性骨缺损[J].中华骨科杂志,2018,38(9):542-548.
[20] MADHUSUDHAN T R,RAMESH B,MANJUNATH K,et al.Outcomes of Ilizarov ring fixation in recalcitrant infected tibial non-unions:a prospective study[J].Journal of Trauma Management & Outcomes,2008,2(1):6.
[21] MORASIEWICZ P,DEJNEK M,URBANSKI W,et al.Radiological evaluation of ankle arthrodesis with Ilizarov fixation compared to internal fixation[J].Injury,2017,48(7):1678-1683.

备注/Memo

备注/Memo:
(收稿日期:2019-11-04)基金项目:杭州市农业与社会发展科研主动设计项目 (20180417A04) 通信作者 E-mail:jamfee@163.com
更新日期/Last Update: 2020-08-10