| Masquelet技术治疗第1跖趾关节痛风性关节炎 |
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投稿时间：2017-02-02
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| 作者 | Author | 单位 | Address | E-Mail |
| 王成林 |
WANG Cheng lin |
协和江南医院骨2科, 湖北 武汉 430200 |
Department of Orthopaedics Surgery Union South Hospital, Wuhan 430200, Hubei, China |
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| 杨俊忠 |
YANG Jun zhong |
协和江南医院骨2科, 湖北 武汉 430200 |
Department of Orthopaedics Surgery Union South Hospital, Wuhan 430200, Hubei, China |
jimmy811106@163.com |
| 张俊 |
ZHANG Jun |
协和江南医院骨2科, 湖北 武汉 430200 |
Department of Orthopaedics Surgery Union South Hospital, Wuhan 430200, Hubei, China |
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| 曹华 |
CAO Hua |
协和江南医院骨2科, 湖北 武汉 430200 |
Department of Orthopaedics Surgery Union South Hospital, Wuhan 430200, Hubei, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第8期，第763-766页 |
| DOI：10.3969/j.issn.1003-0034.2017.08.017 |
| 基金项目: |
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中文摘要:
目的：探讨采用Masquelet技术治疗第1跖趾关节痛风性关节炎的效果。
方法：自2012年2月至2016年5月，采用Masquelet技术治疗7例第1跖趾关节痛风性关节炎患者，其中男5例，女2例；年龄42~58岁，平均50岁。术后定期复查，通过影像学评估骨质愈合情况，并采用美国矫形外科足踝协会（AOFAS）足踝功能评分系统进行综合评价。
结果：7例患者均获得随访，时间6~8个月，平均7个月。所有患者伤口达到Ⅰ期愈合，未出现伤口感染、皮瓣坏死等软组织并发症。影像学检查均达到骨性愈合，愈合时间3~4个月，平均3.6个月。AOFAS评分由术前的42.5±4.6提高至术后的85.0±10.5。
结论：采用Masquelet技术治疗第1跖趾关节痛风性关节炎具有症状缓解明显、并发症少的优势，可有效改善患者生活质量，是一种全新有效的治疗方式。 |
| 【关键词】Masquelet技术 关节炎,痛风性 跖趾关节 |
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| Treatment of gouty arthritis of the first metatarsophalangeal joint by Masquelet technique |
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ABSTRACT
Objective: To study clinical curative effects of a Masquelet technology in the treatment of gouty arthritis in the first metatarsophalangeal joint.
Methods: From February 2012 to May 2016,7 patients with the gouth arthritis of the first metatarsophalangeal joint were treated by the Masqueket technology. There were 5 males and 2 females,ranging in age from 42 to 58 years old,with an average age of 50 years old. During the regular follow-up,the bone healing was assessed by the radiographic imaging,and the orthopaedic foot and ankle Association (AOFAS) ankle function scoring system was used for comprehensive evaluation.
Results: All the patients were followed up,and the duration ranged from 6 to 8 months,with a mean of 7 months. All the wounds obtained first intention healing,and there were no complications such as wound infection,flap necrosis and other soft tissue complications. The time to bone healing was 3 to 4 months,with an average of 3.6 months. The AOFAS score was increased from preoperative 42.5±4.6 to postoperative 85.0±10.5.
Conclusion: The application of Masquelet technique in the treatment of first metatarsophalangeal joint gouty arthritis achieves obvious symptom relief,has less complications,and can effectively improve the quality of life of patients,which is a new and effective treatment. |
| KEY WORDS Masquelet technique Arthritis,gouty Metatarsophalangeal joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王成林,杨俊忠,张俊,曹华.Masquelet技术治疗第1跖趾关节痛风性关节炎[J].中国骨伤,2017,30(8):763~766 |
| 英文格式: | WANG Cheng lin,YANG Jun zhong,ZHANG Jun,CAO Hua.Treatment of gouty arthritis of the first metatarsophalangeal joint by Masquelet technique[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(8):763~766 |
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