最少侵入性与开放式子脚正:一个回顾性比较研究
Sara Mateen1, Shehryar Raja2, Dominick J Casciato3
1International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD.
概括
最少侵入性手术 (MIS) 和手指正的开放性手术在骨愈合和恢复活动方面显示出相似的结果. 虽然MIS的复发率和硬件删除率略高,但这些差异在统计学上并不显著.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚病理 脚和脚病理
- 手术技术手术技术的使用.
背景情况:
- 脚形是一个常见的前脚问题.
- 开放的外科手术技术已经得到了充分的证据.
- 对于子脚正的最小侵入性技术缺乏广泛的文献.
研究的目的:
- 为了比较微创手术 (MIS) 与手指正的开放手术.
- 评估结果,包括骨结合的时间,并发症,复发和恢复活动.
主要方法:
- 追溯性比较研究. 追溯性比较研究.
- 包括标准适用于41名患者的68英尺.
- 54英尺接受了MIS脚正,14英尺接受了开放式脚正.
主要成果:
- 骨结合的时间是相似的:8.76周 (MIS) 和8.42周 (开放).
- 恢复活动是可比的:10.47周 (MIS) 与9.92周 (开放).
- 复发率 (3.23%MIS与0%开放) 和计划外的硬件移除 (4.03%MIS与0%开放) 没有显示出统计学意义.
结论:
- 无论是微创的,还是开放式的子脚正技术,结果都是相似的.
- 在两个手术方法之间的关键结果指标中,没有发现统计学上显著的差异.
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