Subtalar joint arthrodesis
Subtalar joint arthrodesis
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DOI：
10.7547/0950034
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发表时间：
2005-01-01
影响因子：
0.7
通讯作者：
Lamm, BM
中科院分区：
文献类型：
--
作者：
Catanzariti, AR;Mendicino, RW;Lamm, BM
回顾性分析了40例（12例男性和28例女性）接受孤立距下关节融合术的患者。患者平均年龄为50岁（范围：21-76岁）。术前诊断包括胫骨后肌腱功能障碍、创伤后关节炎、非创伤性关节炎和距下关节中关节面联合。平均随访15个月（范围：12-74个月）。主观术后问卷结果分为满意（n = 32）、满意但有所保留（n = 4）或不满意（n = 4）。83%的患者（n = 33）表示他们将再次接受手术。55%的患者发生了轻微并发症（通过非手术治疗解决的并发症）。然而，主要并发症发生率仅为12.5%。本研究显示术前诊断与术后结果之间无统计学相关性。我们的研究结果还表明，并发症的患病率略高于以往的报告。孤立距下关节融合术是治疗后足疼痛和畸形的有效方法。
Forty patients (12 men and 28 women) treated with isolated subtalar joint arthrodesis were retrospectively reviewed. The average patient age was 50 years (range, 21-76 years). Preoperative diagnoses included posterior tibial tendon dysfunction, post-traumatic arthritis, nontraumatic arthritis, and subtalar joint middle facet coalition. The average follow-up was 15 months (range, 12-74 months). Subjective postoperative questionnaire results were classified as satisfied (n = 32), satisfied but with reservations (n = 4), or dissatisfied (n = 4). Eighty-three percent of the patients (n = 33) stated that they would undergo the procedure again. Minor complications (those that resolved with nonoperative treatment) occurred in 55% of the patients. However, the major complication rate was only 12.5%. This study showed no statistical correlation between the preoperative diagnosis and the postoperative outcome. Our results also suggested that the prevalence of complications is slightly higher than in previous reports. Isolated subtalar joint arthrodesis is an effective treatment for pain and deformity of the rearfoot.