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| Application value of fibula support ankle arthrodesis in Kashin-Beck disease talus necrosis |
| XIE Xiaomin ZHOU Xiaoqing JIA Bin GOU Bo▲ |
| Baoji Hospital of Traditional Chinese Medicine, Shaanxi Province, Baoji 721000, China |
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Abstract Objective To study the effect of fibula support ankle arthrodesis in the treatment of Kashin-Beck disease talus necrosis (KTN). Methods A total of 45 cases with KTN treated in Department of Orthopaedics, Baoji Hospital of Traditional Chinese Medicine from January 2012 to January 2016 were selected. All patients were given fibula support ankle arthrodesis treatment. The follow-up conditons were recorded. X ray of the anklelateral was taken to observe the bone fusion, and given histological observation. Bone mineral density (BMD), the maximum compression strength and the American association of ankle surgery (AOFAS) score were compared before surgery and 6, 12 months after surgery. Results All patients were followed-up after surgery, with the average time of (8.5±1.1) months. The incisions were removed the stitches in 2 weeks after surgery. X ray showed bone callus formation in 4 weeks after surgery. Pain was relieved in 5 weeks after surgery, foot shape had improvement. BMD test and the corresponding biomechanics test results showed that, the BMD and the maximum compression strength had increased, the differences were statistically significant (P < 0.05). The differences in different time of AOFAS scores were statistically significant (P < 0.05). Conclusion Fibula support ankle arthrodesis in the treatment of KTN has fast healing and fusion, can achieve complete osseous healing, and fewer complications, postoperative recovery of BMD and biomechanics function are good, pain has relief, comprehensive clinical effect is good. It is worthy of popularization and widely application.
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[1] 高美，于钧.评估大骨节病与骨关节病临床疗效生物指标的探究[J].中华地方病学杂志，2014，33（4）：463-466.
[2] Ning Y，Wang X，Wang S，et al. Comparative analysis of signaling pathways in peripheral blood from patients with Kashin-Beck disease and osteoarthritis [J]. Exp Ther Med，2016，12（6）：4077-4084.
[3] Yu FF，Zhang YX，Zhang LH，et al. Identified molecular mechanism of interaction between environmental risk factors and differential expression genes in cartilage of Kashin-Beck disease [J]. Medicine（Baltimore），2016，95（52）：e5669.
[4] Fang H，Farooq U，Wang D，et al. Reliability and validity of the EQ-5D-3L for Kashin-Beck disease in China [J]. Springerplus，2016，5（1）：1924.
[5] Yu FF，Liu H，Guo X. Integrative Multivariate Logistic Regression Analysis of Risk Factors for Kashin-Beck disease [J]. Biol Trace Elem Res，2016，174（2）：274-279.
[6] 国家质量监督检验检疫总局，国家标准化管理委员会.大骨节病诊断标准[S].GB 16003-1995.
[7] Shi XW，Shi BH，Lyu AL，et al. Exploring Genome-wide DNA Methylation Profiles Altered in Kashin-Beck Disease Using Infinium Human Methylation 450 Bead Chips[J]. Biomed Environ Sci，2016，29（7）：539-543.
[8] Yang P，Guo X，He X，et al. The efficacy and safety of intra-articular injection of hyaluronic acid in the knee and physical therapy agents to treat Kashin-Beck disease： A prospective interventional study [J]. Exp Ther Med，2016， 12（2）：739-745.
[9] 陈晓燕，何健，高文龙，等.甘肃省大骨节病患病情况与生态环境影响因素的关系[J].中华地方病学杂志，2016， 35（12）：908-912.
[10] Yang L，Zhao GH，Liu H，et al. Field synopsis and meta-analyses of genetic epidemiological evidence for Kashin-Beck disease，an endemic osteoarthropathy in China [J]. Mol Genet Genomics，2016，291（5）：1823-1833.
[11] Yamamoto D，Tsubota Y，Utsunomiya T，et al. Osteonecrosis of the jaw associated with everolimus：a case report [J]. Mol Clin Oncol，2017，6（2）：255-257.
[12] Jianchuan W，Lei Y，Benjie W，et al. Study on correlation between bone marrow edema， stage of necrosis and area ratio of necrosis with the hip pain grading in nontraumatic osteonecrosis of the femoral head [J]. Open Med（Wars），2015，10（1）：440-444.
[13] Pascart T，Falgayrac G，Migaud H，et al. Region specific Raman spectroscopy analysis of the femoral head reveals that trabecular bone is unlikely to contribute to non-traumatic osteonecrosis [J]. Sci Rep，2017，7（1）：97.
[14] Ichiseki T，Ueda S，Ueda Y，et al. Involvement of necroptosis，a newly recognized cell death type，in steroid-induced osteonecrosis in a rabbit model [J]. Int J Med Sci，2017，14（2）：110-114.
[15] Hoefert S，Yuan A，Munz A，et al. Clinical course and therapeutic outcomes of operatively and non-operatively managed patients with denosumab-related osteonecrosis of the jaw（DRONJ）[J]. J Craniomaxillofac Surg，2017，45（4）：570-578.
[16] 张强，马静，陈黎林，等.青海成人大骨节病患者血清氧化损伤指标的检测[J].环境与健康杂志，2016，33（6）：516-517.
[17] 黄伟，白露，张文涛，等.关节镜下关节融合术治疗距下关节炎[J].中国医药导报，2015，12（9）：90-93.
[18] 陈晓燕，陈国华，邵建赟，等.甘肃省不同生态类型区大骨节病流行现状及防治情况调查[J].中华地方病学杂志，2016，35（9）：672-676.
[19] 刘艳，许舒野，张雪英，等.吉林省山区儿童大骨节病患病现状及其影响因素调查[J].中华地方病学杂志，2015， 34（7）：501-503.
[20] 刘玲，马文军，秦胜超，等.四川省阿坝州大骨节病患者患病及生活现状调查[J].中华地方病学杂志，2016，35（7）：502-507. |
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