副舟骨切除加胫后肌腱转位术在合并扁平足的副舟骨疼痛综合征中的

副舟骨切除加胫后肌腱转位术在合并扁平足的副舟骨疼痛

综合征中的临床应用

苏正兵;杨述华;段德宇;梁琳琳;方为志

【期刊名称】《临床外科杂志》 【年(卷),期】2013(021)006

【摘要】Objective To explore the excision of accessory navicular bone with posterior tibial tendon transposition in the treatment of accessory navicular pain syndrome related with flatfoot and evaluate its effectiveness. Methods A total of 21 patients with accessory navicular pain syndrome related with flat-foot were treated. All patients had invalid results with more than six months of conservative treatment and then chose to receive the excision of accessory navicular bone with posterior tibial tendon transposition. Results A total of 19 patients were followed up for 6 to 30 months. Patients'symptoms such as pain were significantly improved,and the outward appearance of feet improved. According to the Maryland scoring system, the mean score was significantly increased from the( 57. 6 ±6. 8 )points preoperatively to the( 84. 2 ± 5. 1 )points postoperatively( P <0.05 ). Conclusion The short-term effect of excision of accessory navicular bone with posterior tibial tendon transposition for the treatment of accessory navicular pain syndrome related with flatfoot is obvious.%目的 探讨副舟骨切除加胫后肌腱转位术在治疗合并扁平足的副舟骨疼痛综合征中的临床疗效.方法 对21例经