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结合上骨骨切除术和脚关节形术,用于末期脚关节炎,具有较大的形变形

Hayato Kobayashi¹, Yoji Shido²

¹Department of Orthopaedic Surgery, Fujieda Heisei Memorial Hospital, Shizuoka, Japan.

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

|November 8, 2025

概括

组合的半顶骨切除术 (SMO) 和开脚关节节切除术 (AA) 有效地纠正严重的脚和后脚形. 这一单阶段的手术为末期脚关节炎患者提供了缓解疼痛和改善功能.

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
重建性手术是一种重建性手术.

背景情况:

结尾阶段的脚关节炎与显著的形变形呈现出复杂的外科手术挑战.
传统治疗可能涉及多个阶段或损害关节功能.

研究的目的:

为了评估一个综合 hemiwedge supramalleolar骨切除术 (SMO) 和开脚关节切除术 (AA) 程序的疗效和结果.
评估该技术在单次手术中纠正严重的后脚形的能力.

主要方法:

对14名患者 (15个脚) 进行了回顾性研究,这些患者患有末期脚关节炎和后脚 (≥15°).
患者在2019年4月至2023年6月期间接受了SMO/AA联合手术.
平均随访时间为3.4年.

主要成果:

观察到疼痛 (VAS 7.3~1.4) 和功能 (JSFF 51.9~82.2) 的显著改善 (p<0.001).
平均后脚对齐角度从22.5°提高到1.8° (p<0.001).
完全承重的平均时间为8.4周,骨结合在11.7周内实现.

结论:

结合SMO/AA是一种可行的选择,用于纠正末期脚关节炎中严重的形变形.
该技术保留了下关节运动和腿的长度,有可能减少恢复时间和成本.
刚性固定和仔细的术后管理对于成功的骨愈合至关重要.

关键词:

关节融合是什么意思半骨切除术是指半骨切除术.混合式封闭骨切除术低骨骨切除术 (低骨切除术) 是一种切除术.底关节的关节炎底关节的关节炎跨的方法跨的方法

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Ankle Joint

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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...