距下关节制动术对非胫后肌腱失能性平足的疗效观察  

Therapeutic effect of subtalar arthroereisis on flatfoot without posterior tibial tendon disfunction

作　　者：徐阳[1,2] 李星辰[1,2] 徐向阳[1,2] 

机构地区：[1]上海交通大学医学院附属瑞金医院骨科上海市伤骨科研究所,上海200025 [2]上海交通大学医学院附属瑞金医院北院骨科,上海201801

出　　处：《上海交通大学学报（医学版）》2015年第11期1753-1756,共4页Journal of Shanghai Jiao tong University:Medical Science

基　　金：国家自然科学基金(81272051)~~

摘　　要：目的 探讨应用距下关节制动术治疗非胫后肌腱失能性平足中的可行性并评价其疗效。方法 回顾性分析28例（40足）以距下关节制动器处理的非胫后肌腱失能性患者资料,分别测量及分析术前、术后后足外翻角、侧位第一跖距角等角度变化,采用美国足踝医师协会后足与踝关节（AOFAS-AH）评分比较患者术前、术后功能改变情况。结果 28例患者均获得随访,随访时间14~48个月,各项指标均获得明显改善,除1例患者因后足力线矫正不满意,二期行跟骨截骨术外,其余无2次手术。结论 距下关节制动术是治疗非胫后肌腱失能平足的有效方案,可达到减轻患者疼痛、恢复足的正常排列的效果,并具有手术操作简单、微创、并发症少等优点。Objective To explore the feasibility of treatment of flatfoot without posterior tibial tendon disfunction by subtalar arthroereisis and evaluate the therapeutic effect.Methods Data of 28 patients（40 feet）with flatfoot without posterior tibial tendon disfunction who underwent subtalar arthroereisis were retrospectively analyzed.Changes of hind foot valgus angle and talar-first metatarsal angles on lateral films before and after surgery were measured and analyzed.Changes of foot function before and after surgery were compared by American Orthopedic Foot and Ankle Society-Ankle Hindfoot（AOFAS-AH） Scale.Results All 28 patients were followed up for 14-48 months.All indexes improved significantly.Only one patient underwent calcaneal osteotomy due to poor alignment of hind foot.Other patients did not undergo second surgery.Conclusion Subtalar arthroereisis is an effective treatment for flatfoot without posterior tibial tendon disfunction.It is simple and minimal invasive and can relieve pain and realign foot with fewer complications.

关 键 词：距下关节制动术 扁平足 手术 

分 类 号：R687.3[医药卫生—骨科学]