Outcomes Study of an Innovative Method of Direct Repair of Metatarsophalangeal Joint Instability With an Angiocatheter Needle
Outcomes Study of an Innovative Method of Direct Repair of Metatarsophalangeal Joint Instability With an Angiocatheter Needle
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DOI：
10.1053/j.jfas.2019.07.013
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发表时间：
2020-01-01
影响因子：
1.3
通讯作者：
Fink, Brett R.
中科院分区：
文献类型：
--
作者：
Kindred, Kristin B.;Rusher, Anthony S.;Fink, Brett R.
足底板撕裂是前足疼痛和指畸形的常见原因。足底板的修复已经从背侧和足底两种方法进行了描述，每种方法都有其自身的优点和缺点。许多方法使用昂贵的设备。我们的创新修复方法使用大多数手术室环境中可用的低成本材料。我们进行了一项回顾性病例系列研究，以评估使用我们的修复方法进行足底板修复的患者的结果。进行了一项审查，以确定由一位外科医生使用这种方法治疗的足底板破裂的患者。评估受累关节的临床位置和患者满意度。六名患者（9 个关节）使用这种创新方法接受了足底板修复，并在中位随访时间 19（范围 19 至 39）个月内进行了评估。最终随访时的平均视觉模拟疼痛评分为 0.8 +/- 2.0。脚趾的正中矢状面位置是从手指的足底皮肤到地面的2毫米（范围0到6）。 6 名患者中有 5 名 (83%) 表示他们会再次接受手术。通过这种创新方法修复足底板，我们能够获得满意的结果和良好的对准。我们的数据表明，所描述的足底板修复方法可以作为治疗跖趾关节不稳定的有效方法。 (C) 2019 年，美国足踝外科医生学会。版权所有。
Plantar plate tears are a common cause of forefoot pain and digital deformity. Repair of the plantar plate has been described from both a dorsal and plantar approach, each with its own benefits and drawbacks. Many of the approaches use costly devices. Our innovative repair method uses low-cost materials available in most operating room settings. We undertook a retrospective case series study to evaluate outcomes in patients who had undergone plantar plate repair with our method of repair. A review was performed to identify patients with plantar plate disruptions treated with this approach by a single surgeon. Clinical position and patient satisfaction of the involved joints were evaluated. Six patients (9 joints) underwent plantar plate repair using this innovative method and were evaluated at a median follow-up time of 19 (range 19 to 39) months. The mean visual analog scale pain score at final follow up was 0.8 +/- 2.0. The median sagittal plane position of the toe was 2 mm (range 0 to 6) from the plantar skin of the digit to the ground. Five of the 6 patients (83%) stated that they would have the procedure again. We were able to obtain satisfactory outcomes with good alignment by repairing the plantar plate with this innovative method. Our data suggest that the described method of plantar plate repair can be used as an effective way to treat metatarsal phalangeal joint instability. (C) 2019 by the American College of Foot and Ankle Surgeons. All rights reserved.