趾间关节融合术研究进展

Research progress of interphalangeal arthrodesis

目的对趾间关节融合术矫治趾间关节畸形的研究进展进行综述。方法广泛查阅国内外关于趾间关节融合术相关文献,对其适应证、融合方式、固定方式、并发症等方面进行总结分析。结果趾间关节融合术适应证为锤状趾、爪形趾、槌状趾等足趾畸形。从融合面不同形态来看,融合方式包括端-端融合、榫卯融合、球窝融合及V形截骨融合。固定方式分为经皮克氏针固定、钢丝缝扎固定及骨髓内固定三类,骨髓内固定物种类繁多。趾间关节融合术并发症包括血管损伤、固定物相关并发症及一般外科手术后并发症三大类。结论趾间关节融合术是矫正部分足趾畸形的一种良好术式,但各种并发症发生率不容忽视,临床上仍缺乏有关趾间关节融合术的研究。

Objective To review the research progress of interphalangeal arthrodesis in the treatment of interphalangeal joint deformity.Methods The literature about interphalangeal arthrodesis at home and abroad was extensively consulted,and the indications,fusion methods,fixation methods,complications,and so on were summarized and analysed.Results The indications of interphalangeal arthrodesis are hammer toe,claw toe,and mallet toe.From the different forms of fusion surface,fusion methods include end-to-end,peg-in-hole,conical reamer type,and V-shape arthrodesis.There are three kinds of fixation methods:Kirschner wire fixation,stainless-steel wire suture fixation,and intramedullary fixation,and there are many kinds of intramedullary fixation.The complications of interphalangeal arthrodesis include vascular injury,fixation related complications,and postoperative complications.Conclusion Interphalangeal arthrodesis is a good way to correct some deformities of toes,but the incidence of various complications can not be ignored,and there is still a lack of clinical research on interphalangeal arthrodesis.