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Laurence Ge¹, James R Holmes¹, Paul G Talusan¹

¹Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI, USA.

Foot & ankle orthopaedics

|July 26, 2023

概括

在重力应力射线图上,侧侧突 (LTS) 大于4mm可能表明韦伯B脚骨折的手术. 然而,这项研究发现,4毫米的LTS截止值可能不可靠,因为LTS较高的患者仍然取得了很好的结果.

科学领域:

整形外科手术整形外科手术
放射学放射学是一门学科.
生物力学生物力学

背景情况:

侧侧突 (LTS) 是一种用于孤立的韦伯B脚骨折的测量方法.
之前的一项研究表明,LTS> 4mm的重力应力 (GS) 放射图可能需要手术.

研究的目的:

为了评估4mm LTS切断值在非手术管理的孤立韦伯B骨骨折中的有效性.
调查LTS测量和患者结果之间的相关性.

主要方法:

对42名患有非手术管理的孤立韦伯B脚骨折的患者进行了综述.
测量LTS在GSX射线图上的受伤和相反的无伤脚的LTS.
使用AOFAS,OMA,FAAM/ADL和VAS得分对患者结果的评估,在至少1年的随访中.

主要成果:

大多数患者 (83.3%) 的损伤LTS≤4mm.
患有LTS> 4mm的患者表现出色的结局得分.
不同的LTS组 (<2mm,2-4mm,>4mm) 之间没有发现结果测量的统计学上显著差异.

结论:

在孤立的韦伯B脚骨折中,4毫米的LTS切断可能不是完全可靠的手术决策.
LTS可以是一个有用的辅助,但需要进一步的研究来验证.
即使LTS测量超过4mm,患者的治疗结果也很好.

关键词:

在LTS中使用LTS.B 韦伯 B 韦伯 B 韦伯脚骨折脚骨折在脚上侧面的 talar 脱.结果得分结果得分.

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