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在隔离的关节镜下位关节节术后,逐渐崩的脚形类的纠正

Alessio Bernasconi¹, Matthieu Lalevée², Céline Fernando³

¹Department of Public Health, Orthopaedic and Traumatology Unit, University Federico II of Naples, Naples, Italy.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|July 17, 2024

概括

侧关节镜下侧关节切除术 (ALAPSTA) 有效地纠正后脚对齐和相关的中脚和前脚形在患有渐进性崩脚形 (PCFD) 的患者中. 这种手术改善了患有退化关节的患者的整体3D骨配置.

科学领域:

整形外科手术整形外科手术
脚和脚重建脚和脚重建
生物机械分析生物机械分析

背景情况:

亚侧关节炎通常与平脚有关,现在称为渐进性倒塌脚形 (PCFD).
下关节 (SJ) 关节切除是PCFD的治疗选择,可能会改变3D骨结构.
侧关节镜子下侧关节骨修复 (ALAPSTA) 正在研究其在纠正PCFD相关形方面的有效性.

研究的目的:

评估ALAPSTA在纠正与PCFD相关的3D骨变形方面的有效性.
评估ALAPSTA对后脚对齐,中脚绑架和前脚变异的影响.
分析手术前和后的负载式计算机断层扫描 (WBCT) 图像以纠正形.

主要方法:

对患有PCFD和退行性SJ或周围部脱的患者进行了回顾性研究,这些患者接受了独立的ALAPSTA.
在手术后6个月评估手术前和后的WBCT图像.
测量和比较多个参数来评估PCFD类和3D变形纠正.

主要成果:

包括33名患有PCFD的患者,平均年龄为62.
阿拉普斯塔显著改善了整体PCFD3D形,减少了脚和脚的偏移.
在后脚,中脚绑架和前脚中观察到显著的纠正,改善了脚角,脚动力臂,脚角覆盖角和脚-第一足角.

结论:

阿拉普斯塔作为一种独立的治疗PCFD治疗PCFD的独立手术有效,该手术具有亚关节退化和/或周围关节脱.
该程序成功地纠正了后脚对齐,灵活的中脚绑架和灵活的前脚 varus.
阿拉普斯塔在改善PCFD患者整体3D骨配置方面显示出显著的好处.

关键词:

调整调整调整在前两侧.关节炎是一种关节炎.关节镜检查是指进行关节镜检查.底关节形术底关节形术

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相关概念视频

Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...