跟距骨桥症发病原因分析与手术方法探讨  

Discussions on the Cause and Surgical Treatment for Talocalcaneal Bridge

作　　者：王伟[1] 范时雨[1] 高成杰[1] 汪功久[1] 

机构地区：[1]解放军第252医院骨科

出　　处：《中国矫形外科杂志》1998年第3期212-213,共2页Orthopedic Journal of China

摘　　要：从１９９２年２月～１９９６年９月收治青年战士跟距骨桥症１４例１８足，采用骨桥楔形切除术治疗，随访５～４２个月（平均２２个月），优良率７７．８％。作者认为跟距关节创伤性关节炎是形成跟距骨桥的一种原因。踝部内外侧结构的不均衡使足易发生内翻损伤，高强度的反复足内翻致跟距关节内侧上下关节面频繁挤压、撞击是该病的发病原因。骨桥楔形切除术方法简便，保留了关节功能，是较理想的治疗方法。Fourteen soldiers with 18 talocalcaneal bridge were treated in our hospital from Fed. 1992 to Sept. 1996 Removal of the talocalcaneal bar with wedge osteotomy was performed in all of the patients. The follow up time was from 5 to 42 months (average 22 months) and the good result was 77 8%. In the authors opinion, the disease appear as a result of the mid late period of traumatic talocalcaneal arthritis. The unbalance between medial and lateral structures of the talocalcaneal joint result in the tendency of varus feet sprain, furthermore, repeated varus sprain lead to frequently squeeze in the inner side of the joint and cause this disease. Removal of the talocalcaneal bar with wedge osteotomy is easy to operate may preserve the function of the joint, and seems to be a better method for treatment of talocalcaneal bridge.

关 键 词：跟距桥 病因 外科手术 治疗 

分 类 号：R681.8[医药卫生—骨科学]