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拉皮杜斯关节病的张力侧固定:一个回顾性分析

Ryan B Rigby¹, James R McWilliam², Braden T Jenkins³

¹Logan Regional Orthopedics, Intermountain Healthcare, Logan, UT; Attending, Intermountain Medical Center Podiatry Residency Program, Logan, UT.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

|January 24, 2024

概括

在拉皮杜斯手术中,张力侧固定为形提供了更好的结果. 这种方法允许早期减重,并恢复正常的鞋子,并发症率低.

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

背景情况:

中度至重度的状通常需要拉皮杜斯手术 (第一个tarsometatarsal关节切除).
传统的背部方法与背部或中间固定是常见的.
足部或张力侧固定显示出优越的生物力学强度,但患者结局数据有限.

研究的目的:

报告拉皮杜斯手术紧张侧固定后患者的结果.

主要方法:

81名接受张力侧固定治疗的患者的回顾性分析Lapidus.
收集的数据包括重量熊的时间,返回鞋子,硬件移除,修订,复发,中四肢缩短和非联合率.

主要成果:

重量承载的平均时间为10.4天;平均恢复常规鞋类的时间为6周.
硬件移除 (1.2%),修订 (0%) 和无症状非工会 (1.2%) 的低率.
复发率为8.6%,大多数发生在前面平面校正采用之前;没有患者不满意.

结论:

在拉皮杜斯关节骨折中,张力侧固定可能有助于早期安全地承受重量并恢复鞋履.
这种技术与并发症的发生率较低有关,包括硬件移除,修改和非联合.
尽管复发率很高,但患者满意度仍然很高,这表明风险/益处概况有利.

关键词:

关节关节关节关节手术是一项手术.哈卢克斯瓦尔古斯 (Hallux Valgus) 是一种中脚的融合融合过程中.长腿长腿是什么意思

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