三关节融合应用跟骨异型钢板固定结合软组织手术治疗小腿缺血性肌挛缩后遗马蹄足畸形  

Treatment of triple arthrodesis using calcaneal plate with soft tissue surgery on adult talipes equinus secondary to ischemic contracture of leg

作　　者：胡健[1] 李洪鹏[1] 吴冰[1] 孙培峰[1] 徐朋[1] 陈君[1] 冯承臣[1] 宋展昭[1] 

机构地区：[1]解放军第401医院骨一科,山东青岛266071

出　　处：《中国伤残医学》2016年第10期14-16,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：评价应用跟骨异型钢板三关节融合术，结合软组织手术治疗小腿缺血性肌挛缩后遗马蹄足畸形的治疗效果。方法：2006年10月～2014年3月，对18例（单足19）小腿缺血性肌挛缩后遗马蹄足患者应用跟骨异型钢板三关节融合术，结合跟腱延长、跖腱膜松解、肌腱转位、肌腱紧缩等软组织手术治疗，骨性融合后允许负重（约术后3个月），术后12～18个月行钢板取出。结果：所有病例均进行了术后随访，平均时间为20个月。术后3个月得到骨性融合的14例。结论：三关节融合应用跟骨异型钢根固定结合软组织手术治疗，对成人小腿缺血性肌挛缩后遗马蹄足畸形是一种新的更为有效的治疗方法。Objective：To evaluate the treatment effect of triple arthrodesis using calcaneal plate with soft tissue surgery on adult talipes equinus deformity secondary to ischemic contracture of the leg.Methods：From October 2006 to March 2014,18 patients（ single foot 19） of talipes equinus deformity secondary to ischemic contracture of the leg were managed with triple arthrodesis using calcaneal plate and soft tissue surgery,including achilles tendon lengthening,plantar fascia lysis,tendon transposition,tendon shortening,ect.The patients could bear weight after solid bone fusion, the plate was removed 1 -1.5year later.Results：All the patients were followed up for 11-36months （ averaged 20 months） .14 feet in mean 3 months after operation,4 feet after 4 months and 1 foot after 5 months achieved solid bone fu-sion.Every hindfoot function was assessed before and after operation based on the hindfoot scoring system of the American Orthopaedic Foot and Ankle Society （AOFAS）.The preoperative mean score was 25.5, postoperative score was 91.4 .Conclusion：The treatment of triple arthrodesis using calcaneal plate and soft tissue surgery on adult talipes equinus deformity secondary to ischemic contracture of the leg should be considered as a more effective treatment method.

关 键 词：缺血性肌挛缩 马蹄足 三关节融合 跟骨钢板 内固定 

分 类 号：R682.1[医药卫生—骨科学]