对于晚期关节骨关节炎的隔离脚关节术后的体育和运动活动:单中心回顾性分析
Bavornrit Chuckpaiwong1,2, Pissanu Reingrittha1,3, Thos Harnroongroj1
1Orthopaedic Surgery and Rehabilitation department, Siriraj Hospital, Bangkok, Thailand.
Foot & ankle orthopaedics
|June 16, 2023
概括
关节关节切除手术显著改善了晚期关节骨关节炎患者的功能结果,使大多数人能够恢复高影响性活动. 这种手术干预提供了一条成功的途径,可以恢复流动性和参与体育和运动.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 重建性手术是一种重建性手术.
背景情况:
- 关节骨关节炎 (OA) 显著影响生活质量,当保守治疗失败时,经常需要手术干预.
- 脚关节切除术是治疗末期脚OA的一种公认的外科手术.
- 评估术后的功能结果对于患者的康复和恢复活动至关重要.
研究的目的:
- 评估关节关节切除后晚期关节OA患者的功能结果.
- 分析患者在手术后从事的体育和运动活动类型.
- 为了比较关节切除前后的临床状态.
主要方法:
- 对61名患有晚期脚关节炎的患者进行了回顾性分析,这些患者接受了脚关节切除术.
- 功能性结果使用验证的问卷进行测量:AOFAS,FFI,TAS和HAAS.
- 临床状态和恢复体育/运动活动的情况在关节炎前,关节炎后和关节障碍后期间进行了比较.
主要成果:
- 手术后观察到后脚对齐和整体功能结果的显著改善 (P < .001).
- 患者实现了功能恢复,恢复运动活动的平均时间为20.6周.
- 64%的患者成功地恢复了高影响力活动,报告了良好的满意度.
结论:
- 关节关节切除导致晚期关节OA患者的功能结果得到改善.
- 大多数患者在手术后大约一年可以恢复高影响力活动.
- 关节关节切除是一种有效的治疗方法,可以恢复功能,并使人能够恢复到所需的活动水平.
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