摘要
目的观察自体髂骨柱植骨加跟骨外移截骨术治疗距骨软骨损伤合并距骨囊肿临床疗效。方法回顾分析2016年1月至2018年12月,24例诊断为距骨软骨损伤合并距骨囊肿行自体髂骨柱植骨加跟骨外移截骨手术的病例,评估其术前、术后12个月及24个月视觉模拟评分(visual analogue scale,VAS)及美国足踝外科协会(American Orthopedic Foot Andankle Society,AOFAS)评分。结果VAS评分:术前(5.08±0.93)、术后12个月(1.33±0.87)、术后24个月(0.5±0.5),术后12个月较术前改善(t=13.52,P=0.000),术后24个月与术前仍有明显改善(t=19.09,P=0.012)。AOFAS评分:术前(47.04±17.68)、术后12个月(72.04±8.69)、术后24个月(97.42±3.6),术后12个月较术前有改善(t=-7.209,P=0.000),术后24个月较术前明显改善(t=-14.359,P=0.006)。术后24个月较术后12个月VAS评分明显改善(t=4.05,P=0.000),术后24个月较术后12个月的AOFAS评分明显改善(t=-15.96,P=0.000)。术后12个月及24个月后足力线分别为(0.08±2.26)和(0.17±1.90)较术前的(-4.83±2.46)明显改善。结论自体髂骨柱植骨加跟骨外移截骨术可治疗距骨软骨损伤合并距骨囊肿疗效显著,患者术后疼痛及功能以及后足力线较前明显改善。
Objective To observe the clinical efficacy of autogenous iliac column bone grafting and calcaneal displacement osteotomy in the treatment of talar cartilage injury with talar cyst.Methods Twenty-four cases diagnosed as talar cartilage injury combined with talar cyst was collected and retrospectively analyzed from January 2016 to December 2018.All underwent autologous iliac column bone grafting and calcaneal displacement osteotomy.VAS and AOFAS scores before surgery,12 months and 24 months after surgery were evaluated.Results The VAS and AOFAS scores of the patients 12 months(1.33±0.87),(72.04±8.69)and 24 months(0.5±0.5),(97.42±3.6)after operation were significantly improved compared with those before the operation(5.08±0.93),(47.04±17.68)with statistical significance(P<0.05).The VAS and AOFAS scores 24 months after surgery were significantly improved compared with the data 12 months after surgery(t=4.05,P=0.000;t=-15.96,P=0.000).The hindfoot force line 12 months and 24 months post-operation were(0.08±2.26)and(0.17±1.9),which were significantly improved compared with the preoperative data(-4.83±2.46).Conclusions The effect of autologous iliac column bone grafting and calcaneal displacement osteotomy is remarkable in the treatment of talar cartilage injury combined with talar cyst.It will reduce pain with improved function and hindfoot force line.However,further large-sample studies are needed.
作者
潘旭月
马占华
王梅青
陈兆军
PAN Xu-yue;MA Zhan-hua;WANG Mei-qing;CHEN Zhao-jun(Department of Foot and Ankle,The Third Affiliated Hospital of Beijing University of Chinese Medicine,Bejing,100029,China)
出处
《中国骨与关节杂志》
CAS
2022年第9期676-681,共6页
Chinese Journal of Bone and Joint
关键词
距骨
软骨
跟骨
骨囊肿
截骨术
矫形外科手术
Talus
Cartilage
Calcaneus
Bone cysts
Osteotomy
Orthopedic procedures
