"当前概念审查:Hallux Rigidus"的出版
Michael R Anderson1, Bryant S Ho2, Judith F Baumhauer3
1Summit Orthopedics, Woodbury, MN, USA.
Foot & ankle orthopaedics
|July 28, 2023
概括
刚性,足部疼痛的常见原因,涉及刚性,痛苦的第一个MTP关节关节炎. 虽然切除术和新的植入物显示出希望,但关节融合仍然是高级病例的黄金标准.
科学领域:
- 整形外科 整形外科 整形外科
- 足部医学是一门专业.
- 类风湿病学 类风湿病学
背景情况:
- 第一次甲松关节 (MTP) 关节炎,或硬 (hallux rigidus) 是一种普遍且使人虚弱的疾病,在成年人中引起严重的脚痛.
- 这种情况的标志是软骨退化和骨质细胞的形成,导致关节硬和疼痛.
研究的目的:
- 审查目前对硬性的治疗方式,从保守措施到手术干预.
- 为了评估切除术和新型hemi-arthroplasty植入物的疗效,与晚期硬骨症的关节切除相比.
主要方法:
- 审查保守的管理策略,包括活动修改,鞋类,整形,药物和类固醇注射.
- 对手术选项的分析,如轻度病例的乳头切除术和晚期硬化的聚乙烯醇 Hemi-arthroplasty.
- 结果与关节切除 (关节融合) 的比较,作为严重硬症的既定黄金标准.
主要成果:
- 保守的治疗和切除术可以缓解轻度的硬性和背部刺痛.
- 聚乙烯醇 (PVC) 整形手术表现出先进硬症的早期到中期有希望的结果.
- 第一个MTP关节的关节切除被认为是先进硬性 (hallux rigidus) 的黄金标准,因为早期的关节置换植入物带来了不可预测的结果.
结论:
- 硬骨的治疗应根据疾病的严重程度进行,保守的选择和切除术适用于较轻微的表现.
- 虽然新的植入技术显示出潜力,但关节切除仍然是先进硬症最可靠的外科选择.
- 需要进一步的研究来确定关节置换植入物的长期疗效.
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