改良Kidner术治疗足副舟骨综合征

Modified Kidner procedure for the treatment of accessory navicular syndrome

目的探讨改良Kidner术治疗足副舟骨综合征(ANS)的临床疗效。方法采用改良Kidner术治疗25例ANS患者。采用AOFAS中足评分、疼痛VAS评分、跟骨倾斜角、距骨第1跖骨角和距舟关节覆盖角进行疗效评估。结果患者均获得随访,时间16~48个月。1例术后自觉患足提踵无力,经3个月提踵和功能锻炼后症状得以改善。2例术后1年对侧足出现疼痛,行改良Kidner术,末次随访时疼痛明显缓解。末次随访时,AOFAS中足评分、VAS评分、跟骨倾斜角、距骨第1跖骨角和距舟关节覆盖角均较术前显著改善(P <0.05)。结论改良Kidner术治疗ANS可有效缓解患者症状,术后疗效满意。

Objective To explore the clinical effect of modified Kidner procedure on accessory navicular syndrome( ANS). Methods Twenty-five patients with ANS were treated with modified Kidner procedure. The AOFAS midfoot score,pain VAS,calcaneal inclination angle,the first metatarsal angle of talus and the coverage angle of talocavicular joint were used to evaluate the efficacy. Results All cases were followed up for 16 ~ 48 months. One case who feeled heel lifting without streght was improved after 3 months of heel lifting and functional exercise;two patients had pain in the contralateral foot at 1 year postoperation,and underwent modified Kidner procedure,the pain was significantly relieved until the last follow-up. At the last follow-up,AOFAS midfoot score,VAS,calcaneal inclination angle,the first metatarsal angle of talus and the coverage angle of talocavicular joint were significantly improved,compared with the preoperation( P < 0. 05). Conclusions The modified Kidner procedure can effectively relieve the symptoms of ANS,and the postoperative effect is satisfactory.