复杂的连续造复发的脚在关节形纠正变形与减少的回报
Jeffrey M Henstenburg1, Nikki Sutliff2, Alexander Rompala2
1Orthopedic Surgery, Rothman Orthopedic Institute, Philadelphia, USA.
Cureus
|March 20, 2024
概括
使用Ponseti技术的连续造有效地治疗患有多发性先天性关节炎 (AMC) 的患者的脚. 早期干预显示出最好的结果,在多个造系列中持续改善.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 先天性疾病:先天性疾病.
背景情况:
- 综合性先天性关节缩症 (AMC) 涉及400多种疾病,其特点是严重的关节收缩.
- 在AMC患者中,脚 presents 具有独特的管理挑战,与异形脚相比,其复发率很高.
研究的目的:
- 评估序列造在AMC患者足治疗中的有效性.
- 利用Pirani分数作为对形纠正的客观衡量标准.
主要方法:
- 追溯收集了17名AMC患者 (30名球脚) 的Pirani分数,至少进行了三次造.
- 对前处理和后处理的分析Pirani在使用ANOVA的造系列中得分.
- 治疗开始后的两年随访.
主要成果:
- 在第一个造系列 (4.80至1.68,p<0.001) 之后,Pirani分数显著改善.
- 在随后的造系列中观察到持续显著的改善 (第二:4.23到2.72,p<0.001;第三:3.87到2.82,p<0.001).
- 造日数在第三个系列 (p=0.038) 中显著影响得分变化.
结论:
- 通过连续造应用的Ponseti技术在改善AMC患者的脚形方面表现出有效性,这是Pirani分数减少所表明的.
- 早期干预对于最佳结果至关重要,尽管该技术随着时间的推移保持了有效性.
- 皮拉尼分数提供了一个可靠的客观措施,用于评估AMC clubfoot的治疗进展.
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