背侧入路联合Weil截骨术治疗第2跖趾关节跖板损伤  

Treatment of the injury of the plantar plate on the second metatarsophalangeal joint with dorsal approach and Weil osteotomy

作　　者：周海波[1] 陈雷[1] 刘彩龙[1] 

机构地区：[1]温州医科大学附属第一医院骨科,浙江温州325000

出　　处：《中国骨伤》2015年第11期1059-1063,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：评价背侧入路联合Weil截骨治疗第2跖趾关节跖板损伤的临床疗效。方法 ：自2012年6月至2013年12月,采用背侧入路联合Weil截骨治疗第2跖趾关节跖板损伤患者5例8足,平均年龄52岁。术前症状为第2跖趾关节不稳定伴跖痛症。所有患者得到随访,时间6-12个月。采用AOFAS评分及VAS评分评价疗效。结果：术后所有患者第2跖趾关节恢复稳定及跖痛缓解。所有患者VAS评分低于术前,AOFAS评分高于术前。结论：应用背侧入路联合Weil截骨治疗第2跖趾关节跖板损伤可有效缓解跖底疼痛,稳定跖趾关节,降低术后半脱位率及术后关节僵硬发生率低。Objective：To evaluate the clinical results of dorsal approach and Weil osteotomy in treating the injury of the plantar plate in second metatarsophalangeal joint. Methods：Eight feet with plantar plate tear in five cases were treated by plantar plate repairment through dorsal approach and Weil osteotomy from June 2012 to December 2013. The mean age of the patients was 52 years old. All the patients were followed up for 6 to 12 months. American Orthopaedic Foot and Ankle Society（AOFAS） and visual analogue scale（VAS） were used to evaluate the clinical effect. Results：The second metatarsophalangeal joint stability recovered and the pain released in all patients. Postoperative VAS was lower and AOFAS was higher than preoperative. Conclusion：Combined dorsal approach and Weil osteotomy can effectively release the pian of plantar plate,stabilize the metatarsophalangeal joint,decrease the incidence rate of postoperative subluxation and anchylosis in treating plantar plate tears in the second metatarsophalangeal joint.

关 键 词：跖痛症 跖趾关节 外科手术 

分 类 号：R687.4[医药卫生—骨科学]