CAJ | 학술논문

目的评价逆行交锁髓内钉用于踝关节创伤性关节炎关节融合的效果.方法采用关节间隙植骨融合加钛合金逆行交锁髓内钉固定术治疗踝关节退变9例,其中男4例,女5例.年龄40～70岁.平均41.6岁.手术距原发创伤的时间2～26年,平均12.4年.同种异体骨植入关节间隙,自跟骨向胫骨逆行置钉并常规作近、远端锁钉.结果术后平均随访17.4个月,术前、术后对患者行OFAS评分,并通过影像评价植骨融合效果.手术前后患者的AOFAS平均评分分别为44.1分(42～53分)和70分(57～86分).8例(88.9%)达到植骨完全融合.结论植骨融合加逆行交锁髓内钉固定是治疗踝关节创伤性关节炎的有效方法.
목적 평개역행교쇄수내정용우과관절창상성관절염관절융합적효과.방법 채용관절간극식골융합가태합금역행교쇄수내정고정술치료과관절퇴변9례,기중남4례,녀5례.년령40～70세.평균41.6세.수술거원발창상적시간2～26년,평균12.4년.동충이체골식입관절간극,자근골향경골역행치정병상규작근、원단쇄정.결과 술후평균수방17.4개월,술전、술후대환자행OFAS평분,병통과영상평개식골융합효과.수술전후환자적AOFAS평균평분분별위44.1분(42～53분)화70분(57～86분).8례(88.9%)체도식골완전융합.결론 식골융합가역행교쇄수내정고정시치료과관절창상성관절염적유효방법.
Objective To evaluate the outcome of ankle joint fusion by using the locked retrograde intramedullary nail with graft in traumatic arthritis patients.Methods There were 9 patients (4 male,5 female) with an average age of 41.6 years old (ranging from 40～70 years old),all unilateral,the mean time between the procedure from primary trauma was 12.4 years (2～26 years).Homograft bone was padded to joint space.The nail was inserted through a plantar approach with locking screws placed both proximally and distally.Results Patients were available for an average duration of follow-up of 17.4 months,and were evaluated by a standardized follow-up examination by using the AOFAS and the fusion outcome were observed radiographically.The average AOFAS score improved from 44.1 (ranged,42～53) to 70(ranged,57～86) points.Solid fusion has fully achieved in 8 ankles (88.9%).Conclusions Locked retrograde intramedullary nail fusion with bone graft is effective for traumatic arthritis of ankle joint.