Derotation of the Talus and Arthrodesis Treatment of Stages II-V Muller-Weiss Disease: Midterm Results of 36 Cases
Derotation of the Talus and Arthrodesis Treatment of Stages II-V Muller-Weiss Disease: Midterm Results of 36 Cases
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距骨去旋联合关节融合术治疗II-V期Müller-Weiss病：36例中期结果
DOI：
10.1177/1071100719829457
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发表时间：
2019-05-01
影响因子：
2.7
通讯作者：
Ma, Xin
中科院分区：
文献类型：
--
作者：
Yuan, Chengjie;Wang, Chen;Ma, Xin
背景：多种手术方法已被报道用于治疗Muller-Weiss病（MWD）。本研究报告了伴有距骨移位和关节融合术的II至V期MWD的中期手术治疗结果。方法：2008 - 2015年对34例（36尺）MWD患者行距舟关节（TN）或距舟-楔形关节（TNC）融合术治疗。根据Maceira分期系统对患足进行分期（II期：9；III期：10；IV期：9；V期：8）。术前及随访期间分别采用美国矫形足踝学会（AOFAS）足中量表、视觉模拟量表（VAS）及相关影像学指标进行评估。平均随访时间为38.2个月（25-113个月）。结果：最终随访效果满意。总体而言，AOFAS得分从41.5分（范围，20-56分）提高到85.3分（范围，68-100分）
Background: Various operative procedures have been reported for the treatment of Muller-Weiss disease (MWD). This study reports the midterm operative treatment results for stages II to V MWD with derotation of the talus and arthrodesis. Methods: Thirty-four patients (36 feet) with MWD were treated by talonavicular (TN) or talonavicular-cuneiform (TNC) arthrodesis in our center from 2008 to 2015. The affected feet were staged according to the Maceira staging system (stage II: 9; stage III: 10; stage IV: 9; stage V: 8). The American Orthopaedic Foot & Ankle Society (AOFAS) midfoot scale, the visual analog scale (VAS), and relative radiologic parameters were evaluated preoperatively and also during follow-up. The mean follow-up duration was 38.2 (range, 25-113 months). Results: The final follow-up showed satisfactory outcomes. Overall, the AOFAS scores improved from 41.5 (range, 20-56) to 85.3 (range, 68-100) points (P