足三关节植骨融合加钢板螺钉内固定治疗距骨坏死的疗效分析

Efficacy analysis on triple arthrodesis and bone grafting combined with plat screw internal fixation for treatment of necrosis of talus

目的总结评价足三关节植骨融合术加钢板螺钉内固定术治疗距骨坏死的效果。方法选取中南大学湘雅二医院骨科2011年4月至2015年1月采用足三关节植骨融合术加钢板螺钉内固定术治疗距骨坏死的24例患者,回顾性分析其临床资料。采用AOFAS踝-后足评分系统评价手术的治疗效果。结果本组24例患者均获得随访,平均随访时间26个月（5~36个月）。术前AOFAS评分为4例可,20例差;术后评分为18例优,4例良,2例可。结论采用足三关节植骨融合术加钢板螺钉内固定术治疗距骨坏死,可以达到良好的临床疗效。

Objective To evaluate of the clinical effect of triple arthrodesis and bone grafting combined with plat screw internal fixation for treatment of necrosis of talus. Methods The clinical data of 24 patients with necrosis of talus who were treated by triple arthrodesis and bone grafting combined with plat screw internal fixation from April 2011 to January 2015 in Xiangya Second Hospital of Central South University were retrospectively analyzed. And the clinical effect were measured by AOFAS Ankle Hind-foot Scale System. Results The 24 patients were followed up for 26 months averagely（ 12 ~ 36 months）. According to AOFAS Ankle Hind-foot Scale System,there were 4 cases of moderate and 20 cases of bad before treatment,and there were 18 cases of excellent,4 cases of good,and 2 cases of moderate after the treatment. Conclusion It can achieve good clinical results in treatment of necrosis of talus through triple arthrodesis and bone grafting combined with plat screw internal fixation.