急性 navicular 骨折の手術後の機能的結果と合併症
Esmee W M Engelmann1, Jelle Posthuma2, J C Goslings3
1Trauma Unit, Amsterdam UMC, Meibergdreef 9, Amsterdam 1105 AZ, the Netherlands.
まとめ
急性 navicular 骨折に対するオープン 還元内固定 (ORIF) は,骨結合の成功と良好な機能的結果につながります. しかし,患者に骨格関節炎や,特に複雑な傷害で障害が生じることがあります.
科学分野:
- 整形 術
- トラウマケア
- 足と足首の修復
背景:
- 血管骨折に対するORIFの長期的な結果と合併症は十分に文書化されていません.
- この研究は,手術後の機能的結果,合併症,生活の質,患者の満足度を調査します.
研究 の 目的:
- 急性 navicular 骨折の後に機能的結果と合併症率を評価する.
- 手術後の患者の生活の質と満足度を評価する
- 既存の文献と比較する
主な方法:
- ナビキュラー骨折のためにORIFを受けた17歳以上の患者の遡及研究 (2010年−2023年).
- 機能的アウトカムは,AOFASの中足スコア,FFI,EQ-5Dを用いて評価された.
- 合併症 (非結合,感染,関節症) と体系的な文献レビューが行われました.
主要な成果:
- 平均年齢は35. 9歳,平均追跡期間は69ヶ月でした.
- 44人の患者でORIFが認められ,43人の患者で結合が認められた.
- 3つの感染症と5つの二次性関節症が発生し,AOFASの中央値は80. 0で,FFIの中央値は21. 0でした.
結論:
- ORIFは,特にミニプレート固定で,急性 navicular 骨折の成功組合と良い機能的結果を達成します.
- 残留性関節炎と機能的制限の可能性があり,特に2型と3型の損傷の場合です.
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