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脚置换研究 (OARS) 的结果

Toby O Smith^1,2, Jack Dainty², David T Loveday³

¹Warwick Medical School, University of Warwick, Coventry, UK.

The bone & joint journal

|July 31, 2023

概括

关节整形术 (TAA) 显著改善了患者的治疗结果,大多数患者在六个月后就能获得改善. 老年患者和晚期骨关节炎患者从TAA中获得更大的益处.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
康复医学康复医学康复医学

背景情况:

末期关节疾病显著影响患者的生活质量.
关节整形术 (TAA) 是治疗严重关节关节炎的外科选择.
了解患者报告的结果指标 (PROM) 对于评估TAA成功至关重要.

研究的目的:

评估TAA后的多中心患者队列中的12个月结果.
在TAA后12个月描述PROMs的模式.
为了确定TAA结果的预测因素.

主要方法:

在手术前,六个月和十二个月的间隔内收集PROM (MOXFQ,EQ-5D-5L) 的前性数据.
包括来自19个NHS医院的238名接受初级TAA的患者.
多变量回归分析以确定PROM的预测因素和结果措施之间的关系.

主要成果:

在TAA后6个月和12个月观察到MOXFQ和EQ-5D-5L得分的显著改善 (p < 0.001).
大多数改善发生在前六个月内,12个月后的额外变化最小.
在基线时,较老的年龄和更先进的放射性骨关节炎预测MOXFQ得分的更大改善.

结论:

对于患有末期脚疾病的患者来说,TAA提供了显著的好处.
在TAA后六个月评估PROM似乎足以评估手术成功.
预测结果的因素,如年龄和疾病严重程度,可以为患者咨询提供有关TAA期望的信息.

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Ankle Joint

Ankle Joint

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...