小甲骨切除术在预防第二次脚的复发方面有多重要?
Timothy P Cheung1, Rachel H Albright2, Erin E Klein3
1DPM/PhD Student, Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine & Science, North Chicago, IL.
概括
脚手术的复发风险在横向甲足部头部转移时更高. 缩短骨切除术可能有所帮助,但需要进一步研究,以确定中介转移在纠正脚变形方面的有效性.
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
- 足部医学 足部医学
背景情况:
- 手术正后,脚形常常会复发,特别是那些有明显的手术前横平面形的人.
- 术内外科手术技术在减轻复发风险方面的作用尚不清楚.
研究的目的:
- 调查在子手指手术期间第二足的横平面转移和/或缩短是否会影响复发.
- 确定子脚的复发预测因素,包括特定的手术内修改.
主要方法:
- 对102名接受第二次子手指手术的患者 (137个脚) 的现有数据进行二次分析.
- 测量了第二个甲松关节的放射测量和考克斯回归分析,以评估复发预测因素.
主要成果:
- 甲足头的外科手术横向转移与手指复发的风险增加有关 (多变量HR3.45,p = .028).
- 没有达到令人满意的术后甲足抛物线 (长的第二甲足) 也似乎增加了复发风险 (多变量HR1.96,p = .097).
结论:
- 甲足头的横向转移可能会增加子脚的复发风险.
- 缩短骨切除术可能对一些患者有好处,但对于介质转移技术需要进一步研究.
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