相关实验视频

Updated: Jul 5, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

佩斯平面与膝关节关节整形术后增加的并发症和糟糕的结果有关

Allison R Mitchell¹, Kingsley A Oladeji¹, John C Bonano¹

¹Department of Orthopaedic Surgery, Stanford University, Redwood City, California.

Journal of surgical orthopaedic advances

|January 22, 2024

概括

经过全膝关节整形术 (TKA) 的pes planovalgus患者有更多的医疗问题和更高的并发症风险,如深静脉血栓塞 (DVT),硬度和修复手术.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
临床结果研究研究

背景情况:

脚形,足部形,影响下肢生物力学.
佩斯平面对全膝关节整形术 (TKA) 结果的影响仍未得到充分研究.
了解这些影响对于TKA患者的选择和手术规划至关重要.

研究的目的:

调查pes planovalgus与患者人口统计学之间的关联.
在患有pes planovalgus的患者中分析TKA后的医疗和手术并发症.
为了比较TKA患者与没有pes planovalgus之间的并发症率.

主要方法:

对2005年至2014年的医疗保险数据库进行了回顾性分析.
使用ICD-9代码识别了5,750名患有pes planovalgus的TKA患者和23,000名对照患者.
在TKA后90天和2年的医疗和手术并发症的统计比较,应用Bonferroni校正 (α < 0.003).

主要成果:

肥胖患者表现出更高的高血压,肺部疾病,甲状腺功能低下,糖尿病,血管疾病,肥胖和抑郁症.
在90天后,在 pes planovalgus 组中观察到深静脉血栓 (DVT) (OR 1.3),硬度 (OR 1.3),和修订 (OR 1.59) 的几率增加.
与对照组相比,2年后仍然存在较高的硬度几率 (OR 1.34),与对照组相比,复查和医疗并发症的发生率相似.

结论:

佩斯平面结与重要的医学并发症有关.
患有pes planovalgus的患者可能面临术后硬,DVT和TKA后早期修订的风险.
关节整形外科医生应该考虑这些风险,并在TKA之前相应地向患有pes planovalgus的患者提供建议.

更多相关视频

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty

Published on: May 5, 2023

相关概念视频

Knee Joint

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...

Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

Bones of the Lower Limb: Femur and Patella

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...