[1]徐善强,张宇,张文举,等.距舟楔关节融合结合同种异体骨植骨治疗Müller-Weiss病[J].中医正骨,2021,33(05):65-67.
 XU Shanqiang,ZHANG Yu,ZHANG Wenju,et al.Talonavicular-cuneonavicular arthrodesis combined with allogeneic bone grafting for treatment of Müller-Weiss disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(05):65-67.
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距舟楔关节融合结合同种异体骨植骨治疗Müller-Weiss病()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年05期
页码:
65-67
栏目:
临床报道
出版日期:
2021-05-20

文章信息/Info

Title:
Talonavicular-cuneonavicular arthrodesis combined with allogeneic bone grafting for treatment of Müller-Weiss disease
作者:
徐善强张宇张文举李平王勇何凯元
(四川省骨科医院,四川 成都 610041)
Author(s):
XU ShanqiangZHANG YuZHANG WenjuLI PingWANG YongHE Kaiyuan
关键词:
骨坏死 跗骨 关节融合术 骨移植 Müller-Weiss病
摘要:
目的:观察距舟楔关节融合结合同种异体骨植骨治疗Müller-Weiss病的临床疗效及安全性。方法:2017年12月至2019年3月,采用距舟楔关节融合结合同种异体骨植骨治疗Müller-Weiss病患者18例。男4例,女14例。年龄43~66岁,中位数55岁。左侧10例,右侧8例。根据Maceira分期标准,Ⅲ期6例、Ⅳ期12例。病程13~72个月,中位数36个月。进行患足负重位X线检查,测量侧位距骨第一跖骨角、正位距骨第二跖骨角。进行患足后足力线位X线检查,测量后足力线角。采用视觉模拟量表(visual analogue scale,VAS)评分评价患足疼痛程度,采用美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)中足评分标准评价综合疗效。随访观察关节融合及并发症发生情况。结果:1例患者出现切口延迟愈合,加强换药后切口愈合。所有患者均获随访,随访时间13~22个月,中位数18个月。距舟楔关节均获得骨性融合,融合时间12~16周,中位数14周。与术前相比,末次随访时患足疼痛VAS评分降低[(6.3±1.5)分,(0.9±0.1)分,t=7.082,P=0.002],AOFAS评分增高[(41.3±9.7)分,(86.8±10.1)分,t=11.078,P=0.001],侧位距骨第一跖骨角、正位距骨第二跖骨角、后足力线角均有改善(-2.66°±7.20°,0.18°±1.52°,t=1.058,P=0.012; 22.45°±1.67°,0.68°±0.12°,t=2.111,P=0.004; -16.67°±4.85°,0.12°±1.20°,t=10.214,P=0.002)。所有患者均未出现切口感染、皮肤坏死及内固定物断裂并发症。结论:距舟楔关节融合结合同种异体骨植骨治疗Müller-Weiss病,可以缓解足部疼痛、矫正足部畸形,且关节融合率高、短期综合疗效好、并发症少。

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更新日期/Last Update: 1900-01-01