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Outcomes Study of an Innovative Method of Direct Repair of Metatarsophalangeal Joint Instability With an Angiocatheter Needle.

血管导管针直接修复跖趾关节不稳的创新方法的结局研究。

  • 影响因子:1.16
  • DOI:10.1053/j.jfas.2019.07.013
  • 作者列表:"Kindred KB","Rusher A","Baker A","Groh CN","Fink BR
  • 发表时间:2020-01-01
Abstract

: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.

摘要

: 足底板撕裂是引起前足疼痛和数字畸形的常见原因。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设置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,以评价用我们的修复方法进行足底钢板修复的患者的结局。进行了回顾,以确定由单一外科医生采用该方法治疗的足底板中断患者。评估受累关节的临床位置和患者满意度。6 例患者 (9 个关节) 使用这种创新方法进行了足底钢板修复,并在中位随访时间 19 (19 ~ 39) 个月时进行了评价。最终随访时平均视觉模拟量表疼痛评分为 0.8 ± 2.0。脚趾的正中矢状面位置从手指足底皮肤到地面为 2 mm (范围 0 至 6)。6 例患者中有 5 例 (83%) 表示将再次进行该手术。我们通过这种创新的方法修复足底板,能够获得良好的对位效果。我们的数据表明,所描述的跖板修复方法可作为治疗跖趾关节不稳的有效途径。

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作者列表:["Beltai A","Barnetche T","Daien C","Lukas C","Gaujoux-Viala C","Combe B","Morel J"]

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影响因子:4.13
发表时间:2020-01-01
DOI:10.1002/acr.23824
作者列表:["Chen SK","Liao KP","Liu J","Kim SC"]

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影响因子:4.13
发表时间:2020-01-01
DOI:10.1002/acr.23827
作者列表:["Lee RR","Rashid A","Thomson W","Cordingley L"]

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