足三关节融合术后再手术21例分析

Analysis of 21 Re-operated Cases after Triple Arthrodesis of Foot

本文收集12年足三关节融合术999足,其中效果不佳行第二次手术21足占2％。从临床及随访资料发现,手术操作不确切与打石膏时变位占第一位,手术程序按排不当占第二位,如注意此两点,足三关节融合术不佳大可减少。虽有足趾坏死并发症,若切骨充分、石膏不紧,是可以避免地。本文强调在行足三关节融合术同时应行肌力平衡手术,也是提高疗效措施之一。

There were 999 cases of triple ar throdesis of foot during last twe lve years. Among them 21 cases (2%) were reoparated for its poor result.Incorrect operation and unduely change of plaster were the first reuson, and the improper arrangement of operation was the sscond reason, If these two points could be corrected, the effect of this operation would be improved greatly. If the banlance of muscle could be adjusted in the same operation, it would be one of the effective measure to improve the result.