副舟骨切除加胫后肌腱转位术在合并扁平足的副舟骨疼痛综合征中的临床应用  

Clinical application of excision of accessory navicular bone with posterior tibial tendon transposi-tion in accessory navicular pain syndrome related with flatfoot

作　　者：苏正兵[1] 杨述华[1] 段德宇[1] 梁琳琳[1] 方为志[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,武汉430022

出　　处：《临床外科杂志》2013年第6期455-457,共3页Journal of Clinical Surgery

摘　　要：目的 探讨副舟骨切除加胫后肌腱转位术在治疗合并扁平足的副舟骨疼痛综合征中的临床疗效.方法 对21例经半年以上保守治疗无效的合并扁平足的副舟骨疼痛综合征患者行副舟骨切除加胫后肌腱转位术.结果 术后随访19例,时间6～30个月.患者疼痛症状明显好转,足部外观改善.应用Maryland足部评分标准,由术前平均（57.6±6.8）分提高至术后平均（84.2±5.1）分,差异有统计学意义（P〈0.05）.结论 副舟骨切除加胫后肌腱转位术治疗合并扁平足的副舟骨疼痛综合征近期疗效明显.Objective To explore the excision of accessory navicular bone with posterior tibial tendon transposition in the treatment of accessory navicular pain syndrome related with flatfoot and evaluate its effectiveness. Methods A total of 21 patients with accessory navicular pain syndrome related with flat-foot were treated. All patients had invalid results with more than six months of conservative treatment and then chose to receive the excision of accessory navicular bone with posterior tibial tendon transposition. Re- suits A total of 19 patients were followed up for 6 to 30 months. Patients^symptoms such as pain were sig- nificantly improved, and the outward appearance of feet improved. According to the Maryland scoring sys-tem, the mean score was significantly increased from the （57.6 ± 6.8 ）points preoperatively to the （84.2 ± 5.1 ） points postoperatively（ P 〈 0.05 ）. Conclusion The short-term effect of excision of accessory navic- ular bone with posterior tibial tendon transposition for the treatment of accessory navicular pain syndrome related with flatfoot is obvious.

关 键 词：副舟骨 扁平足 疼痛综合征 

分 类 号：R681.8[医药卫生—骨科学]