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补正目标的Supramalleolar骨切除术为早期Varus关节关节炎:是否需要过度纠正?

SeungMyung Choi¹, Jaeyoung Kim², Young Yi³

¹Department of Orthopedic Surgery, CHA University, CHA Bundang Medical Center, Republic of Korea.

Foot & ankle international

|December 17, 2024

概括

超骨切除术有效地通过纠正骨对齐来治疗早期的关节关节炎. 为了获得成功的临床结果,不需要过度纠正骨顶部到骨位置.

科学领域:

整形外科手术整形外科手术
脚和脚手术脚和脚手术
关节炎治疗方法关节炎治疗方法

背景情况:

瓦鲁斯关节关节炎与中部骨翻译影响关节力学.
骨切除术的早期干预旨在重新调整脚并改善功能.
超骨切除术是一种治疗脚变形的手术技术.

研究的目的:

为了评估早期关节关节炎的骨骨切除术的临床和放射性结果.
为了确定侧面骨转移到骨轴是否是一个有效的校正目标.
为了比较中性和过度纠正的中距离角 (MDTA) 后手术后的结果.

主要方法:

追溯90名患者 (93名脚) 的病例系列,这些患者患有高akura 2或3a varus脚关节炎.
进行了中间开口的骨切除术与骨切除术.
使用VAS和足部功能指数评估临床结果;放射性参数包括骨髓中心迁移 (TCM) 和轴-骨髓比率 (TT比率).

主要成果:

所有患者在手术后的临床和放射性结局都显著改善 (P < .01).
观察到位位置的横向变化 (TCM和TT比率的变化,P < .01).
在中性和过度纠正的MDTA组之间没有发现临床结果或放射变化的显著差异.

结论:

脊柱中心的侧向翻译可以作为这种骨折的可行校正目标.
为了获得有利的结果,不需要过度纠正部顶部到关节对齐.
这项研究支持使用超骨切除术治疗早期关节关节炎.

关键词:

校正目标的校正目标.中间间距离的小腿骨角过度纠正过度纠正这是一次超大脑骨干切除术 (supramalleolar osteotomy).塔卢斯中心是塔卢斯中心瓦鲁斯脚关节关节炎脚关节炎

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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...