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題 名 | Arthroscopic Ankle Arthrodesis: A Preliminary Report=以關節鏡施行踝關節融合術: 初步報告 |
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作 者 | 王德源; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:12 1998.12[民87.12] |
頁 次 | 頁694-699 |
分類號 | 416.61 |
關鍵詞 | 踝關節; 關節鏡; 關節鏡融合術; Ankle; Arthrodesis; Arthroscopy; |
語 文 | 英文(English) |
中文摘要 | 背景踝關節關節炎至末期會引起關節變形疼痛及行動不便,現今一般解決之辦法 為手術施行踝關節融合術,但迄今有30多種踝關節融合術的手術方法,此即表示有許多問 題仍待解決,如延遲癒合、未癒合、癒合不正、感染等。而近十幾年來由於關節鏡器械的改 進以及光源照明之改善,國外已有使用關節鏡施行踝關節融合術的少量報告,本文為討論過 去2年內我使用本法的初步經驗及結果。 方法從1994年至1995年共有5例踝關節炎的病人,入院接受以關節鏡施行踝關節融 合手術,本文回顧這些病例的記錄,並且分析其臨床資料。 結果3例於術後2個月X光顯示已癒合,1例則於術後3個月X光顯示已癒合,有1例延遲 癒合至術後12個月X光才顯示癒合。 結論以關節鏡施行踝關節融合手術,其術後疼痛感較一般手術方法大為減少,而且疤痕較小 較美觀,對局部皮膚不佳、血液循環不良的病例,尤其值得使用。但其手術時間較長,技術 較困難,學習時間須較長,是其缺點。踝關節有嚴重變形或是距骨有壞死病變時則不宜使用 此法。 |
英文摘要 | Background. Over the past decade, arthroscopy has become a well- accepted technique for treating complex ankle problems. Recently, technical refinement with improvements in instrumentation has allowed more extensive arthroscopic debridement. With these improvements, arthroscopy can be used to perform successful arthrodesis of the ankle. Methods. Five arthroscopic ankle arthrodesis procedures were performed. Three patients had post-traumatic osteoarthritis, one had rheumatoid arthritis and one had gouty arthritis combined with pyogenic arthritis. Following arthroscopic resection of the synovial membrane, cartilage and subchondral bone from the tibial, fibular and talar articular surfaces, an autogenous iliac bone graft was performed using arthroscopic guidance. Two percutaneous screws were used for internal fixation in three cases. Postoperatively, patients wore a short leg walking cast for eight weeks. The average follow-up was 18.8 months (range, 12-24 months). Results. Clinical ankylosis was achieved in all cases and there was radiologic evidence of bone fusion in four cases. In one case, delayed union occurred, but it was achieved at the 12th postoperative month of follow-up. Conclusions. Arthroscopic ankle arthrodesis is less invasive than open techniques and less painful after surgery; it also allows for a better cosmetic effect. There is a learning curve associated with arthroscopic ankle fusion, and it is time-consuming. Severe deformity is a contraindication for this method and such cases should only be treated using the open method. |
本系統中英文摘要資訊取自各篇刊載內容。