[脚关节炎:保护关节的手术和全脚关节整形手术]
1Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China.
概括
脚关节炎影响全球健康,但其治疗落后于其他关节疾病. 在控制疼痛的同时保持脚运动对于有效的患者治疗结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 运动医学 运动医学
背景情况:
- 脚关节炎影响全球1%的成年人,造成严重的健康负担.
- 目前对脚关节炎的理解和治疗比对部或膝盖关节炎的理解和治疗要先进得多.
- 传统的治疗方法,如脚关节切除,导致不运动和二次关节退行.
研究的目的:
- 突出需要改善足关节炎的临床理解和治疗策略.
- 为了强调保护脚关节运动范围以及缓解疼痛的重要性.
- 讨论当前和新兴的手术选择,最终阶段的脚关节炎.
主要方法:
- 审查关于脚关节炎诊断和治疗的现有文献.
- 分析当前的手术干预措施,包括关节镜脱bridement,骨切除术,移植,分心关节整形术,关节切除术,和关节整形术.
- 讨论影响个性化治疗选择的因素.
主要成果:
- 脚关节切除术曾经是黄金标准,但它存在重大缺点,包括流动性丧失和步态改变.
- 存在多种手术选择,但患者特定的因素决定了最好的方法.
- 由于缺乏明确的治疗指南,需要进一步讨论和研究.
结论:
- 基于患者症状,成像和社会经济因素的个性化治疗选择是必不可少的.
- 需要进一步的研究和全面的讨论,以建立足关节炎的明确诊断和治疗指南.
- 平衡缓解疼痛与维护关节功能仍然是管理关节关节炎的主要目标.
相关概念视频
01:10Ankle Joint
1.6K
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...
1.6K
01:27Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11