Research of ankle chute tibia bone graft fusion in the treatment of late kaschin-beck disease
10.3760/cma.j.issn.1673-4904.2014.05.016
- VernacularTitle:踝关节胫骨滑槽植骨融合术治疗大骨节病晚期的临床研究
- Author:
Zhigang QU
;
Peng WANG
- Publication Type:Journal Article
- Keywords:
Ankle joint;
Arthrodesis;
Kashin-Beck disease
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(5):47-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical curative effect of ankle chute tibia bone graft fusion treatment of late kaschin-beck disease.Methods Thirty-three patients with late kaschin-beek disease performed ankle arthrodesis,the ankle surgery in 5 cases,simple right ankle surgery in 13 eases and 15 cases of left ankle surgery.Intraoperative used tibial chute hollow screw internal fixation and bone graft plaster external fixation postoperatively.Followed up 0.5-6.0 years,compared the American orthopaedic food and ankle society (AOFAS) score before surgery to determine the efficacy of last follow-up,X ray film fusion situation assessment in the postoperative period.Results Thirty-three cases did not occur postoperative incision infection,vascular or nerve complications.Last follow-up,30 cases were no obvious discomfort,3 cases of mild ankle pain,accompanied by walking or standing for a long time after the foot heel had mild acid bilges feeling,did not affect the daily life.The AOFAS score before surgery was significantly lower than that last follow-up [(25.84 ± 16.81) scores vs.(87.32 ± 4.68) scores] (P ＜ 0.01).Clinical efficacy excellent in 25 cases,good in 5 cases,general in 2 cases,poor in 1 case.Follow-up X line piece was showed that in all cases to achieve bony fusion.Conclusion Using sliding kashin-beck terminal patients treated ankle bone graft fusion,simple operation,high bone graft fusion rate,less complications,curative effect is positive.
