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与中期功能结果和并发症发生率相关的CCI全脚置换的调整

Joris P S Hermus¹, Sander M van Kuijk², Marianne A Witlox³

¹Department of Orthopaedic Surgery, Research School CAPHRI, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands. j.hermus@mumc.nl.

Journal of foot and ankle research

|June 8, 2023

概括

陶涂层植入体 (CCI) 足整体关节整形手术显示出卓越的中期临床结果和生存率. 这项研究发现,CCI植入物的并发症发生率很低,这支持它们在关节关节病的使用.

科学领域:

整形外科手术整形外科手术
生物材料科学是生物材料的科学.
医疗器械工程医疗器械工程

背景情况:

脚关节整形术 (TAA) 是对末期脚关节病的日益增长的治疗方法.
陶涂层植入物 (CCI) 脚置换物越来越多地被使用.
评估CCI植入物性能和对齐对于患者的治疗结果至关重要.

研究的目的:

为了评估CCI脚置换的中期临床功能和存活率.
为了确定CCI植入物对齐和功能结果之间的关联.
为了研究对齐和并发症发生率之间的关系.

主要方法:

对61名患者 (2010-2016) 进行了65个CCI植入物的前性队列研究.
平均随访时间为85.2个月.
通过AOFAS,被动运动范围 (ROM),放射分析和并发症记录进行临床评估.

主要成果:

从手术前的21.8°到手术后的27.6°,ROM显著改善 (p<0.001).
AOFAS分数从40.9增加到82.5,随着随访后期的轻微下降 (p<0.001).
平均随访时间为85.2个月,生存率为87.7%,有8次失败 (12.3%).

结论:

通过CCI全脚关节整形术观察到出色的临床结果和生存率.
低的中期并发症率与CCI植入物有关.
CCI TAA显示,对于末期关节关节病的治疗结果很有前途.

关键词:

复杂性复杂性复杂性失败的失败是因为失败.整体脚关节整形手术整体关节置换整体关节置换

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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...