| 改良Kidner手术联合肌腱镜治疗痛性副舟骨 |
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投稿时间：2020-06-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 罗杨 |
LUO Yang |
中国人民解放军总医院第一医学中心骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
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| 齐玮 |
QI Wei |
中国人民解放军总医院第一医学中心骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
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| 魏民 |
WEI Min |
中国人民解放军总医院第一医学中心骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of PLA, Beijing 100853, China |
weim301gk@sina.com |
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| 期刊信息：《中国骨伤》2021年，第34卷，第5期，第448-451页 |
| DOI：10.12200/j.issn.1003-0034.2021.05.010 |
| 基金项目: |
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中文摘要:
目的： 探讨改良Kidner手术联合肌腱镜治疗痛性副舟骨的临床疗效。
方法： 2014年2月至2019年4月，收治19例经6个月以上保守治疗无效的痛性副舟骨患者，男13例，女6例；年龄14~58（25.9±10.9）岁；均为单侧发病。出现疼痛至入院时间6~60个月。所有患者给予副舟骨切除联合带线锚钉重建胫后肌腱，并应用肌腱镜技术探查胫后肌腱。分别于术前及末次随访采用美国足踝外科协会（American Orthopedic Foot and Ankle Society，AOFAS）的中足功能评分标准和疼痛视觉模拟评分法（visual analogue scale，VAS）进行临床疗效评价。
结果： 19例均获随访，时间12~73（35.0±20.9）个月。VAS术前（6.33±1.95）分，末次随访（0.20±0.41）分，差异有统计学意义（t=11.50，P<0.01）；AOFAS评分术前（60.27±21.51）分，末次随访（95.53±5.79）分，差异有统计学意义（t=5.71，P<0.01）
结论： 改良Kidner手术联合肌腱镜技术可以有效缓解副舟骨疼痛症状，提高患足功能，疗效确切。 |
| 【关键词】副舟骨 胫后肌腱 肌腱镜 疼痛 |
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| Outcome of modified Kidner procedure with tendoscopy for the treatment of painful accessory navicular |
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ABSTRACT
Objective: To evaluate clinical efficacy of modified kidner procedure with tendoscopy in treating painful accessory navicular.
Methods: From February 2014 to April 2019, 19 patients with painful accessory navicular were admitted, including 13 males and 6 females with a mean age of 26 years old (ranged from 14 to 58 years old), all of which were unilateral symptoms. The courses of disease ranged from 6 to 60 months. All patients received excision of accessory navicular and reconstruction of posterior tibial tendon insertion on navicular with anchor, and the tendoscopy were used to examin the posterior tibial tendon. American Orthopedic Foot and Ankle Society(AOFAS) midfoot score and visual analogue scale(VAS) were used to evaluate efficacy before operation and at the latest follow-up.
Results: All the patients were followed up, and the duration ranged from 12 to 73 months, with an average of (35.0±20.9) months. VAS score was 0.20±0.41 at the latest follow-up, showing significant difference when compared with preoperative score of 6.33±1.95(t=11.50, P<0.01). AOFAS score was 95.53±5.79 at the latest follow-up, showing significant difference when compared with preoperative score of 60.27±21.51(t=5.71, P<0.01).
Conclusion: The modified kidner procedure with tendoscopy is a good choice for the treatment of painful accessory navicular, which could obviously relieve foot pain, improve foot function, and has certain clinical efficacy. |
| KEY WORDS Accessory navicular Posterior tibial tendon Tendoscopy Pain |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 罗杨,齐玮,魏民.改良Kidner手术联合肌腱镜治疗痛性副舟骨[J].中国骨伤,2021,34(5):448~451 |
| 英文格式: | LUO Yang,QI Wei,WEI Min.Outcome of modified Kidner procedure with tendoscopy for the treatment of painful accessory navicular[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(5):448~451 |
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