外科手术与形与对气的警等待:一个随机对照试验
M Torkki1, A Malmivaara, S Seitsalo
1Department of Orthopaedic Surgery, Helsinki University Central Hospital, Finland. markus.torkki@us.fi
JAMA
|May 23, 2001
概括
手术骨切除术有效治疗疼痛的状,提供显著的长期缓解疼痛和改善功能. 对这种常见的足部疾病,正只能提供短期的症状改善.
科学领域:
- 整形外科 整形外科 整形外科
- 足部医学是一门专业.
- 手术创新 在外科创新.
背景情况:
- 状是成年人普遍存在的足部形,只有有限的证据支持治疗的有效性.
- 了解对华氏体的最佳干预措施对于患者的治疗结果至关重要.
研究的目的:
- 为了比较手术治疗的疗效,整形器件,和没有治疗.
- 为了评估患者的疼痛,功能和患者满意度.
主要方法:
- 这是一项随机对照试验,涉及209名患有气的成年患者.
- 参与者被分配到手术 (远程骨切割),骨架或对照组.
- 结果包括12个月的疼痛强度,总体改善和功能状态.
主要成果:
- 外科手术显示,与骨架和对照人群相比,长期疼痛减轻和功能改善优越.
- 一个显著的百分比的外科手术患者报告改善1年对整形和对照组.
- 整骨架提供了短期的疼痛缓解,但手术干预产生了最好的整体结果.
结论:
- 手术骨切除术是一种有效的治疗症状的.
- 整形器件提供暂时的缓解,而手术为气提供持久的好处.
- 这项研究支持当保守措施不足时,对价值进行手术干预.
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