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在将脚融合转换为跨管全脚关节整形术后的结果

Mark Arthur¹, Thomas Wood², Morgan Motsay²

¹University of Arizona, Phoenix, Phoenix, AZ, USA.

Foot & ankle orthopaedics

|March 9, 2026

概括

失败的关节融合取下转换为跨关节全关节整形术 (TAA) 显著改善了患者的结果和运动范围. 这种手术方法是复杂的脚重建的可行选择.

科学领域:

整形外科手术整形外科手术
重建性手术是一种重建性手术.
关节质整术是指关节质整术.

背景情况:

脚合并失败的手术管理面临重大挑战.
作为一种治疗选择,正在探索穿轮全脚关节整形术 (TAA) 作为一种治疗选择.

研究的目的:

评估关节融合脱落的临床和放射性结果,并将其转换为跨管状金属 (TM) 全关节整形术 (TAA).

主要方法:

十六名先前关节融合的患者接受了融合取消和转换到跨管TAA.
使用SF-12,VAS和AOS得分来评估术前和术后的结果.
放射性参数包括对齐,运动范围 (ROM) 和周围假肢并发症.

主要成果:

在疼痛,残疾和生活质量得分 (VAS,AOS,SF-12) 中观察到显著改善.
手术后背部曲 (DF) 和脚部曲 (PF) 的平均值分别为12.5°和13.5°.
周围假肢骨折的修复率为6.3%,硬件移除或脱bridement的重新操作率为50%.

结论:

将关节融合取消并转换为跨管TAA显示了患者报告结果和ROM的显著改善.
尽管存在技术上的挑战,但这种手术在关节合并失败时提供了合理的治疗方法.

关键词:

脚融合修订脚融合修订核聚变取消了我们所做的一切.整体脚关节整形手术穿越五骨头的整个脚.

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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...