距舟关节融合治疗Müller-Weiss病的疗效

Efficacy of talonavicular arthrodesis in the treatment of Müller-Weiss disease

目的探讨距舟关节融合治疗Müller-Weiss病的临床疗效。方法采用距舟关节融合治疗22例Müller-Weiss病患者。术前和末次随访时采用AOFAS中足评分、疼痛VAS评分评估恢复情况。结果22例患者均获得随访,时间12~34个月。手术切口均一期愈合。术后1个月1例出现切口皮肤湿疹,经外用药物治疗后好转。患足距舟关节均骨性融合,融合时间11~18周。末次随访时,患者AOFAS中足评分较术前显著提高,VAS评分较术前明显降低,差异均有统计学意义(P<0.01)。结论距舟关节融合治疗Müller-Weiss病中短期临床疗效显著,把握手术指针、矫正中足力线是手术成功的关键。

Objective To investigate the clinical efficacy of talonavicular arthrodesis in the treatment of Müller-Weiss disease.Methods The 22 cases of Müller-Weiss disease were treated by talonavicular arthrodesis.AOFAS midfoot score and pain VAS were used to evaluate the recovery situation at the preoperation and the last follow-up.Results All 22 patients were followed up for 12~34 months.The incisions were all healed in one stage.One case had eczema of incision skin at one month after operation and improved after external medication.All patiens talonavicular joint achieved bony fusion.The fusion time was 11~18 weeks.At the last follow-up,the AOFAS midfoot score was significantly improved than that before operation,and VAS was significantly decreased than that before operation(P<0.01).Conclusions The treatment of Müller-Weiss disease by talonavicular arthrodesis is effective in the short and medium term.The key to the operation is to grasp the indication of the operation and correct the alignment of the middle foot.