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在使用伊利扎罗夫外置固定器进行形或形形融合后的中期结果

Jahyung Kim¹, Jiss Joseph Panakkal², Cherian Kovoor³

¹Department of Orthopaedic Surgery, Armed Forces Yangju Hospital, Yangju, Korea.

Clinics in orthopedic surgery

|August 2, 2024

概括

使用Ilizarov外部固定器的关节融合手术通常会导致邻近关节的自发融合,包括关节和中关节,这可能会减轻未来的疼痛和步行问题.

科学领域:

整形外科手术整形外科手术
生物机械工程生物机械工程
放射学放射学是一门学科.

背景情况:

脚融合是脚关节炎末期的主要治疗方法,当全脚置换不适合时.
人们对关节融合后邻近关节的二次关节炎存在担忧.
这项研究研究了在骨 (TT) 或骨骨 (TTC) 融合过程中保护相邻关节的好处.

研究的目的:

通过Ilizarov外部固定器呈现TT或TTC融合的中期结果.
为了确定TT或TTC融合后邻近关节 (亚和中) 的自发融合的发生率.
评估融合对相邻关节状态的影响.

主要方法:

对41名接受TT或TTC融合治疗的患者进行了回顾性观察研究 (1994-2018).
伊利扎罗夫外置固定器用于脚周围的严重骨缺陷.
在融合后对邻近关节状况的放射评估.

主要成果:

在34名TT融合患者中,有30名 (88.3%) 患者表现出自发的邻近关节融合.
在TT融合患者中,29.4%的患者发生了下关节融合;中关节和下关节的联合融合发生在55.9%的患者中.
所有7名TTC融合患者都表现出自发的中关节融合.

结论:

自发的相邻关节融合在TT或TTC与Ilizarov固定器融合后很常见,用于显著的骨缺陷.
这一发现可能为管理合并后的相邻联合状态提供了洞察力.
需要进一步考虑,因为研究患者可能不代表主要联合牺牲程序的典型候选人.

关键词:

脚脚在脚上关节炎是一种关节炎.关节切除术 (英语:Arthrodesis) 是一种关节切除术.

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