双平面远端结核的关节功能对双平面远端结核开放高骨切除术的影响:一项前性研究
1Orthopaedics and Traumatology Department, Hitit University Faculty of Medicine, Corum, Turkey.
Medicine
|September 8, 2023
概括
远端结核双平面开高骨切除术 (DT-BOWHTO) 为膝关节骨关节炎提供了很好的5年结果,改善疼痛和功能,而不会改变膝关节对齐. 这种手术技术是有效的管理中枢膝关节骨关节炎.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 中部膝关节关节骨关节炎是一种常见的疾病,通常用高骨切除术治疗.
- 远端结核双平面开放高骨切除术 (DT-BOWHTO) 是用于这种疾病的手术技术.
- 评估长期结果对于了解DT-BOWHTO的疗效至关重要.
研究的目的:
- 评估接受DT-BOWHTO的患者5年的放射学,临床和功能结果.
- 为了比较手术前和手术后的患者数据,包括各种膝盖得分和对齐参数.
- 调查身体质量指数 (BMI) 和手术结果之间的相关性.
主要方法:
- 一组41名患者 (19名男性,22名女性),平均年龄为55.54岁,接受了DT-BOWHTO.
- 采集了手术前和5年术后的数据,并进行了统计分析.
- 参数包括BMI,Insall-Salvati指数,布莱克本-皮尔指数,凯尔格伦-劳伦斯分类 (KLC),部斜率角度,AKSFS,CAKSS,VAS,TFAS,TCA,以及部部角.
主要成果:
- 在手术后的BMI,AKSFS,CAKSS,VAS,KLC,腿节节角和TFAS中观察到显著的改善 (P ≤ .001).
- 在修改后的Insall-Salvati指数,Blackburn-Peel指数或部斜率角度 (P > .05) 中没有发现显著变化.
- 在BMI和VAS/KLC之间,或在总校正的角度测量和临床/功能评分之间没有发现显著的相关性.
结论:
- DT-BOWHTO证明了中枢膝关节骨关节炎的高效5年临床,疼痛和功能结果.
- 这种手术不会对骨关节或骨关节产生负面影响,因为骨高度和骨斜率稳定.
- 额外的脚结核螺丝固定并没有增强骨切除术的愈合,BMI与疼痛减轻或功能改善无关.
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