PDF(Pubmed)
Abstract：
UNASSIGNED: Medial cuneiform dorsal opening wedge (Cotton) osteotomy is often used for treating forefoot varus in patients undergoing surgery for stage II posterior tibialis tendon dysfunction. The goal of this study was to examine the radiographic outcomes of Cotton osteotomy with bioactive glass wedge to assess for both maintenance of correction and clinical results and complications. We hypothesized that bioactive glass wedges would maintain correction of the osteotomy with low complication rates.
UNASSIGNED: Between December 2015 and June 2016, the charts of 17 patients (10 female and 7 male) who underwent Cotton osteotomy using bioactive glass wedges were retrospectively reviewed. Patient age averaged 56.8 years (range, 16-84). The average follow-up was 6.5 months. Radiographs were reviewed to assess for initial correction and maintenance of correction of medial column sag as well as for union. Charts were reviewed for complications.
UNASSIGNED: The medial column sag correction averaged 15.6% on the final postoperative lateral radiograph. Meary angle averaged 19 degrees (3.14-42.8 degrees) preoperatively and 5.5 degrees (0.4-20.7 degrees) at final follow-up. All patients achieved clinical and radiographic union. One patient developed neuropathic midfoot pain and was managed with sympathetic blocks. One patient had a delayed union that healed at 6 months without surgical intervention. No patients required the use of custom orthotics or subsequent surgical procedures.
UNASSIGNED: Cotton osteotomy with bioactive glass wedges produced consistent correction of the medial column with low risk.
UNASSIGNED: Level IV, case series.
UNASSIGNED: Between December 2015 and June 2016, the charts of 17 patients (10 female and 7 male) who underwent Cotton osteotomy using bioactive glass wedges were retrospectively reviewed. Patient age averaged 56.8 years (range, 16-84). The average follow-up was 6.5 months. Radiographs were reviewed to assess for initial correction and maintenance of correction of medial column sag as well as for union. Charts were reviewed for complications.
UNASSIGNED: The medial column sag correction averaged 15.6% on the final postoperative lateral radiograph. Meary angle averaged 19 degrees (3.14-42.8 degrees) preoperatively and 5.5 degrees (0.4-20.7 degrees) at final follow-up. All patients achieved clinical and radiographic union. One patient developed neuropathic midfoot pain and was managed with sympathetic blocks. One patient had a delayed union that healed at 6 months without surgical intervention. No patients required the use of custom orthotics or subsequent surgical procedures.
UNASSIGNED: Cotton osteotomy with bioactive glass wedges produced consistent correction of the medial column with low risk.
UNASSIGNED: Level IV, case series.
摘要：
■内侧楔形背侧开口楔形（棉花）截骨术通常用于治疗II期后胫骨肌腱功能障碍手术患者的前足内翻。这项研究的目的是检查用生物活性玻璃楔形Cotton截骨术的影像学结果，以评估矫正的维持以及临床结果和并发症。我们假设生物活性玻璃楔块可以维持截骨术的矫正，并发症发生率低。
在2015年12月至2016年6月之间，回顾性分析了使用生物活性玻璃楔块进行Cotton截骨术的17例患者（10例女性和7例男性）的图表。患者平均年龄56.8岁(范围，16-84).平均随访6.5个月。对射线照片进行了审查，以评估对内侧柱凹陷的矫正的初始矫正和维持以及结合。对并发症的图表进行了审查。
■在最终的术后外侧X线片上，内侧柱下垂校正平均为15.6％。术前微小角度平均为19度（3.14-42.8度），最终随访时平均为5.5度（0.4-20.7度）。所有患者均达到临床和影像学结合。一名患者出现神经性中足疼痛，并接受交感神经阻滞治疗。一名患者延迟愈合，在没有手术干预的情况下在6个月时愈合。没有患者需要使用定制矫形器或随后的外科手术。
■采用生物活性玻璃楔形的棉质截骨术可在低风险的情况下对内侧柱进行一致的矫正。
■四级，案例系列。
在2015年12月至2016年6月之间，回顾性分析了使用生物活性玻璃楔块进行Cotton截骨术的17例患者（10例女性和7例男性）的图表。患者平均年龄56.8岁(范围，16-84).平均随访6.5个月。对射线照片进行了审查，以评估对内侧柱凹陷的矫正的初始矫正和维持以及结合。对并发症的图表进行了审查。
■在最终的术后外侧X线片上，内侧柱下垂校正平均为15.6％。术前微小角度平均为19度（3.14-42.8度），最终随访时平均为5.5度（0.4-20.7度）。所有患者均达到临床和影像学结合。一名患者出现神经性中足疼痛，并接受交感神经阻滞治疗。一名患者延迟愈合，在没有手术干预的情况下在6个月时愈合。没有患者需要使用定制矫形器或随后的外科手术。
■采用生物活性玻璃楔形的棉质截骨术可在低风险的情况下对内侧柱进行一致的矫正。
■四级，案例系列。
