类风湿关节炎前足矫形术后跖骨痛原因分析

An Analysis of the Cause of Metatarsal Pain after Forefoot Correction in Rheumatoid Arthritis

目的:探讨类风湿性关节炎前足矫形术后跖骨痛的病因分析,以期采取相应的应对措施,以改善类风湿性关节炎前足矫形手术的手术效果,提高患者的满意度。方法:本院自2009年6月至2014年6月5年间行类风关前足矫形术204例256足,其中术后出现跖骨痛的44例46足,随访术后出现跖骨痛的时间、部位以及处理措施的效果和预后,并分析其出现原因。结果:44例患者中11例11足接受了再次手术治疗,7例术后患者跖骨痛消失,4例患者术后仍残留疼痛,2例接受足垫治疗,2例接受了第3次手术,术后疼痛消失。32例34足未接受再次手术,行矫形足垫治疗,1例患者失随访。结论:术后残留跖骨痛是类风湿关节炎前足矫形术常见的术后并发症,大多数患者可通过矫形鞋垫缓解疼痛,少数需要再次手术治疗。

Objective： To investigate the etiology of metatarsus pain of rheumatoid arthritis forefoot after surgical correction, in order to take corresponding measures to improve the surgical efficay and patient satisfaction. Methods： From June 2009 to June 2014, total204 cases（256 feet） with rheumatoid arthritis were treated with forefoot correction, the metatarsal pain after surgery were found in 44 cases（46 feet）the time, location and treatment measures of postoperative follow-up were recorded analyzed. Results： 44 patients in 11 cases 11 feet underwent reoperation, 7 cases of postoperative patients with metatarsal pain disappeared, 4 patients remained pain, 2 cases accepted the treatment of 2 cases of foot pad, 2 cases accepted third surgery, 32 cases of 34 feet were treated with corrective foot pads, and 1 patients were not followed up. Conclusion： Postoperative residual metatarsalgia is forefoot surgery common postoperative complicationsin patients with rheumatoid arthritis, most patients can relieve the pain through the orthotic treatment, few patient need reoperation, etiology,reoperation effect after surgery, patients with high satisfaction.