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关节透视与开放的后脚融合使用逆向的tibiotalocalcaneal指甲

Anna-Kathrin Leucht¹, Andrea N Veljkovic², Murray Penner²

¹Department of Orthopaedic Surgery and Traumatology Kantonsspital Winterthur Winterthur Switzerland.

Journal of experimental orthopaedics

|November 7, 2025

概括

关节透视的小腿骨 (TTC) 融合是严重的后脚关节炎的开放手术的可行替代方案. 这种技术显示了类似的非联合率,但较低的重复手术和伤口并发症率,患者报告的结果相似.

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
最少侵入性手术的方法

背景情况:

节骨 (TTC) 融合是严重的后脚关节炎或形的救援程序.
患者经常有并发症,增加术后并发症的风险.
关节镜脱bridement可以提高伤口愈合和血液供应.

研究的目的:

在一个具有挑战性的患者队列中,比较关节镜与开放TTC融合的结果.
评估工会率,重新手术率和患者报告的结果 (PRO).

主要方法:

从58个TTC融合案例 (2009-2018) 进行了前性收集数据的回顾性分析.
进行了22次关节镜融合和36次开放融合.
包括TTC聚变或带脚聚变与先前的talocalcaneal聚变的病例.

主要成果:

总体而言,工会比例为89.7%.
关节镜组的非联合率为9.1%,而开放组的非联合率为11.1%.
关节镜组的复手率为0%,而开放组的复手率为27.8%.
这两组在关节骨关节炎得分 (AOS) 和满意度得分均显著改善.

结论:

关节镜TTC融合是开放外科手术的可行替代方案.
关节镜技术证明了较低的伤口并发症和重新手术率.
在技术之间,非工会率是相似的,PROs是可比的.

关键词:

后脚融合,后脚融合.后脚的融合指甲后脚的融合指甲生物矿化 (TTC) 融合

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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...