在年轻患者和老年患者中,对第一个甲松关节融合进行了十年的最低随访研究
Fabrice Scheurer1, Stefan M Zimmermann1, Philipp Fischer1
1Balgrist University Hospital, Zurich, Switzerland.
Foot & ankle international
|December 30, 2023
概括
第一个甲松关节 (MTP I) 关节切除可以为患有硬的年轻患者提供良好的疼痛缓解. 这种手术融合提供了与老年患者相似的结果,验证了它在年轻人中的使用.
科学领域:
- 整形外科手术 整形外科手术
- 足部医学 足部医学
- 生物机械工程 生物机械工程
背景情况:
- 硬性,或第一个甲关节 (MTP I) 的退行性关节疾病 (DJD),主要影响老年人.
- MTP I关节切除是终端阶段硬化的已确立治疗方法.
- 在年轻的,活跃的患者中,MTP I关节损伤的疗效尚未得到很好的确立.
研究的目的:
- 为了比较MTP I关节损伤在50岁以下的患者和60岁以上的患者的结果.
- 为了评估术后疼痛,功能结果和两个年龄组之间的修订率.
- 为了确定MTP I关节切除是否是末期硬症年轻患者的可行的治疗选择.
主要方法:
- 一项回顾性病例控制研究,将50岁以下的患者与接受MTP I关节切除治疗的60岁以上患者进行比较.
- 根据年龄对患者进行匹配,并比较至少10年的随访结果.
- 使用特格纳活动评分 (TAS),虚拟特格纳活动评分 (VTAS),视觉模拟尺度 (VAS) 和足部功能指数 (FFI) 进行结果评估.
主要成果:
- 较年轻的患者 (n=28) 与老年患者 (n=33) 相比,在平均14年的随访期间,疼痛缓解 (VAS,FFI疼痛分级) 显著增加.
- 两组之间没有观察到功能性结果 (FFI功能分级,TAS/VTAS比率) 的显著差异.
- 修订率相似,但在年轻人群中,硬件删除的可能性更高.
结论:
- 与老年患者相比,MTP I关节切除在50岁以下的末期硬症患者中提供了高度令人满意和可比的结果.
- 第一个甲关节融合是患有末期硬性症的年轻患者的有效和有效的治疗选择.
- 该程序在年轻人群中产生了显著的疼痛缓解和可接受的功能结果.
相关概念视频
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Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
01:07Development of the Limb Synovial Joints
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During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...