后脚对齐和脚稳定性 随着关节镜侧脚关节带修复
Kensei Yoshimoto1,2, Masahiko Noguchi1,2, Hideyuki Maruki2,3
1Department of Orthopedic Surgery, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.
Foot & ankle international
|July 1, 2023
概括
在慢性侧脚关节不稳定的关节镜侧脚关节带修复后,后脚的排列对结果产生负面影响. 患有高骨角的患者在手术后经历了更频繁的脚扭伤和更低的疼痛得分.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 运动医学 运动医学
背景情况:
- 慢性侧脚不稳定性 (CLAI) 经常与后脚形有关.
- 对于CLAI的关节镜侧侧脚带修复 (ALLR) 后后果的后脚的影响仍然未被调查.
研究的目的:
- 为了评估后脚形变形对CLAI的ALLR后临床结果的影响.
- 确定与CLAI患者手术结果较差相关的特定放射性参数.
主要方法:
- 对62名接受CLAIALLR治疗的患者的63个脚进行了回顾性分析.
- 在手术前测量关节表面 (TAS) 角和关节角 (TCA) 使用平面放射.
- 术后结果的评估,包括经常出现的脚不稳定性和自行管理的足部评估问卷 (SAFE-Q) 评分.
主要成果:
- 在13个脚中出现了反复的脚不稳定,TAS角度明显较低,手术前TCA较高.
- 术前TCA被确定为复发不稳定的独立风险因素 (值3.4度).
- 高TCA组表现出明显更高的复发性不稳定性率和较低的术后SAFE-Q疼痛评分.
结论:
- 在手术前高TCA表示的后脚形对齐,与CLAI的ALLR后的较差结果有关.
- 这一发现表明,手术前对后脚对齐的评估对于进行带重建的CLAI患者的管理至关重要.
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