后路关节镜距下关节融合治疗终末期关节病  

Posterior arthroscopic subtalar arthrodesis for end-stage arthropathy

作　　者：于永杰[1] 马亮 王传鑫 王素霞 陈德生[1] 吕文学[2] 蔡余力[2] YU Yong-jie;MA Liang;WANG Chuan-xin;WANG Su-xia;CHEN De-sheng;LV Wen-xue;CAI Yu-li(Yidu Central Hospital of Weifang City,Weifang 262500,China;Affiliated Hospital,Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]潍坊市益都中心医院,山东潍坊262500 [2]山东中医药大学附属医院,山东济南250014 [3]山东中医药大学,山东济南250011

出　　处：《中国矫形外科杂志》2023年第7期656-659,共4页Orthopedic Journal of China

基　　金：山东省自然科学基金面上项目(编号:ZR2021MH071);2021年度山东省博士后创新项目(编号:202103083);中国博士后科学基金第68批面上资助二等项目(编号:2020M682220);中国博士后科学基金第14批特别资助项目(编号:2021T140423);山东省医药卫生科技发展计划项目(编号:2018WS075)。

摘　　要：[目的]探讨后侧入路关节镜距下关节融合术治疗终末期关节病的临床疗效。[方法]回顾性分析2016年8月—2019年6月采用后侧入路关节镜距下关节融合术的31例严重距下关节炎患者资料。总结围手术期资料及随访临床和影像资料。[结果]所有患者均顺利完成手术,无术中并发症,随访时间平均(19.1±2.9)个月。随时间推移,31例患者VAS评分显著降低(P<0.05);AOFAS评分显著增加(P<0.05)。影像方面,末次随访时30例后足对线正常,仅1例存在轻度内翻(<5°),与术前相比后足对线显著改善(P<0.05)。末次随访时X线片显示融合率为100%。[结论]后侧入路关节镜距下关节融合术治疗终末期距下关节病疗效显著,术后融合率高。[Objective] To evaluate the clinical efficacy of posterior arthroscopic subtalar arthrodesis for the end-stage arthropathy.[Methods] A retrospective study was conducted on 31 patients who underwent posterior arthroscopic subtalar arthrodesis for severe subtalar arthritis in our hospitals from August 2016 to June 2019.The perioperative,follow-up and imaging data were summarized.[Results] All the patients had operation performed successfully without intraoperative complications,and followed up for(19.1±2.9) months on an average.The VAS scores of 31 patients significantly decreased(P<0.05),whereas the AOFAS scores significantly increased over time(P<0.05).In terms of imaging examination,30 patients had normal hindfoot alignment,whereas the remaining one patient got mild varus(5°),which did not impact the joint function.By the time of the latest follow-up,all the 31 patients got solid subtalar fusion with fusion rate of 100%.[Conclusion] This posterior arthroscopic subtalar arthrodesis is effective treatment for end-stage subtalar arthropathy with a high fusion rate.

关 键 词：终末期关节病 距下关节融合术 后侧入路 关节镜术 

分 类 号：R687.4[医药卫生—骨科学]