相关实验视频

Updated: Sep 10, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

骨切除和骨外骨稳定骨切除与平面骨变形:一项回顾性研究

Wenqi Gu^1,2, Xianchao Xu³, Shaoling Fu²

¹Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Orthopaedic surgery

|August 26, 2025

概括

这项研究表明,结合骨结合切除 (TCC) 和骨外骨稳定 (EOTTS) 有效治疗青少年骨形. 这种手术可以显著改善脚部的平衡,减轻疼痛,并且很少出现并发症.

科学领域:

骨科手术
儿童整形医学
足部和脚手术

背景情况:

在青少年中,形形 (Talocalcaneal coalition,TCC) 存在治疗上的挑战.
在TCC病例中,未经治疗的 pes planus 变形可能会影响最终的临床结果.
同时纠正 pes planus 变形对于最佳结果至关重要.

研究的目的:

以后期评估联合切除与骨外脊柱稳定 (EOTTS) 的临床疗效.
评估青少年TCC与同时存在的形形的治疗方法.
确定足部对齐,疼痛和功能的影响.

主要方法:

用联合切除和EOTTS治疗的TCC和 pes planus变形患者的回顾性评估 (2018年1月 - 2024年1月).
对米里角和第一个足角 (T1MA) 的放射性评估.
使用视觉模拟尺度 (VAS) 对疼痛的临床评估和美国骨科足协会脚后脚评分 (AOFAS-AHS).
记录恢复运动活动和并发症.

主要成果:

在1年的随访中,Meary角 (13. 4°至5. 1°) 和T1MA (14. 7°至6. 4°) 显著改善 (p < 0. 05).
中位数VAS得分从5降至0,AOFAS- AHS从51.1增加至90.1 (p < 0.05).
没有早期的伤口或软组织并发症; 一名患者在移除植入物后缓解了鼻痛.

结论:

同时切除和EOTTS是青少年TCC的有效治疗方法.
结合方法带来了令人满意的临床结果,包括改善了对齐和功能.
这种手术的并发症极小, 便于恢复运动.

关键词:

额外骨脊柱稳定美国手术治疗塔洛卡纳尔联盟

更多相关视频

$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$ 07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

A Mouse Model of Ankle-Subtalar Complex Joint Instability

A Mouse Model of Ankle-Subtalar Complex Joint Instability

Published on: October 28, 2022

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...