改良Kinder手术治疗疼痛性足副舟骨损伤的临床疗效

The clinical effect of modified Kinder surgical treatment of painful foot accessory navicular injury

目的分析评价改良Kinder手术治疗疼痛性足副舟骨的临床效果。方法回顾2006年1月至2013年12月因足副舟骨损伤接受手术治疗的患者62例(71足),其中男性患者18例,女性患者44例。所有患者采用改良Kidner术进行治疗,在术前和术后随访中进行主观评估,并分析手术前后AOFAS中足功能评分。结果 62例(71足)患者中Ⅰ型副舟骨损伤7例,Ⅱ型副舟骨损伤58例,Ⅲ型副舟骨损伤6例。术后随访59例(68足),平均随访35.3个月,总体优良率91.6%。术后AOFAS评分显著高于术前。结论疼痛性副舟骨多为Ⅱ型。改良Kinder手术治疗副舟骨损伤可以取得满意的临床效果。

Objective Analysis of evaluation of modified kinder surgical therapy for pain is enough of the accessory navicularbone clinical effect.Methods Review in2006January to December2013due to the foot of the accessory navicular bone injuryreceived surgical treatment of patients62cases(71feet),including18cases of male patients,female patients with44cases.All patientswith modified Kidner operation treatment,and in preoperative and postoperative follow-up were used for subjective evaluation,andanalysis before and after the operation of AOFAS score.Results62cases(71feet)in7patients with type I accessory navicular boneinjury,58cases of typeⅡaccessory navicular bone injury,6cases of typeⅢaccessory navicular bone injury.59cases were followed up(68feet),with an average follow-up of35.3months,the overall excellent and good rate was91.6%.The postoperative AOFAS score wassignificantly higher than that before operation.Conclusion Most of the patients with painful accessory navicular were typeⅡ.Theclinical effect of modified Kinder operation for treatment of painful accessory navicular injury can achieve satisfactory.