在柔性平脚中,通过板固定而延长侧侧柱的联合,而不需要骨移植:一个案例系列
Mohamed Hegazy El-Sharkasy1,2, Abdel Aziz El-Singergy2, Ali M Reda Mansour2
1Orthopedic Surgery Department, Shoubra General Hospital, Cairo, Egypt.
Indian journal of orthopaedics
|August 1, 2023
概括
没有骨移植的侧柱延长 (LCL) 板固定有效治疗柔性平脚,显示高结合率和改善患者功能. 这种方法可以避免与骨移植相关的并发症.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 生物力学 生物力学
背景情况:
- 灵活的平脚会导致疼痛和功能限制.
- 手术管理通常涉及纠正脚部对齐的程序.
- 侧柱延长 (LCL) 是一种用于解决平脚形的技术.
研究的目的:
- 为了评估侧柱延长 (LCL) 的有效性,使用没有骨移植的板固定.
- 评估症状灵活平脚患者的功能和放射性结果.
主要方法:
- 预期随机试验涉及30英尺 (27名患者).
- 使用美国整形足和脚学会 (AOFAS) 评分进行功能评估.
- 在手术前和手术后对关键脚对齐角度进行放射性评估.
主要成果:
- 高工会率在8-12周内实现.
- 平均AOFAS分数显著改善,从51.6到92.2.
- 观察到的放射性纠正在头骨-第一个甲足,头骨-骨,骨角和头骨-骨角.
结论:
- 没有骨移植的LCL板固定是灵活平脚的可行选择.
- 这种技术显示了高的工会率,并保持了调整.
- 它可以避免与自体移植和异体移植相关的潜在并发症.
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