脚过度纠正的手术管理:一个案例系列
Cesare Faldini1,2, Elena Artioli1, Alessandro Panciera1,2
11st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.
Archives of orthopaedic and trauma surgery
|June 15, 2023
概括
对过度纠正的脚进行手术治疗,这是脚治疗的复杂并发症,在临床和放射性结局上取得了显著的改善. 基于个体患者症状的量身定制的手术方法对于成功治疗至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 脚和脚手术 脚和脚手术
背景情况:
- 过度纠正是脚治疗的已知并发症,患病率在5-67%之间.
- 过度纠正的脚呈现为复杂的平脚与后脚,平顶,背骨,背骨 navicular 下位.
- 管理是具有挑战性的,需要量身定制的保守或手术干预.
研究的目的:
- 介绍过度纠正脚的手术管理经验.
- 为特定子形提供当前治疗选择的概述.
- 为了评估手术干预过度纠正脚的疗效.
主要方法:
- 对15名因过度纠正脚而接受手术治疗的患者进行了回顾性队列研究 (2000-2015年).
- 外科手术包括介质化骨切除术,关节下部关节切除术,第一个甲椎的近端骨切除术和前移动.
- 临床评分和放射性参数在手术前和手术后进行评估.
主要成果:
- 平均年龄为33.1岁的15名患者 (4名女性,11名男性) 接受了平均4.46年的随访.
- 进行的手术: 7 个介质化骨切除术,5 个下关节骨折, 11 个第一个甲足足侧伸缩骨切除术,7 个前肌移植.
- 观察到临床和放射性评分的统计学上显著改善.
结论:
- 过度纠正脚的治疗需要多种不同的手术技术,因为形的变化很高.
- 手术方法显示出积极的结果.
- 手术的适应症应优先考虑临床症状和功能障碍,而不是形态变化.
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