作为灵活的渐进式崩脚形的治疗方法,孤立的脉关节:一个案例系列
Christopher J Traynor1, Hui Zhang2, Bryan D Den Hartog1
1Twin Cities Orthopedics, Edina, MN, USA.
Foot & ankle orthopaedics
|March 22, 2024
概括
隔离的关节 (TN) 关节切除有效地纠正老年人的柔性渐进式倒塌脚形 (PCFD). 这种手术显著改善了放射性对齐和功能评分,为这个患者群体提供了可行的手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚重建 脚和脚重建
- 生物机械分析分析
背景情况:
- 灵活的渐进式倒塌脚形 (PCFD) 管理因患者活动水平而异.
- 对于年轻,活跃的患者来说,节节关节的手术是最好的.
- 塔罗纳维库拉 (TN) 关节切除是老年,不太活跃的个体可纠正的PCFD的一个选择.
研究的目的:
- 为了评估PCFD孤立的三平面TN关节关节术的放射和临床结果.
- 评估TN关节切除在老年,需求较低的患者中的疗效.
主要方法:
- 49名患有灵活PCFD的患者 (53英尺) 的回顾性队列研究.
- 在手术前和手术后进行载重放射,以测量对齐.
- 足部和脚能力测量 (FAAM) 和退伍军人-兰德12项健康调查 (VR-12) 临床结果.
主要成果:
- 观察到侧面的舌头-第一个四足角,足底角和TN覆盖角 (P < .001) 的显著放射性改善.
- FAAM分数显示ADL (P = .002) 和整体分数 (P = .006) 的显著改善.
- 报告的高患者满意度为85.2/100.
结论:
- 隔离TN关节切除是老年,需求较低的灵活PCFD患者的可行的手术选择.
- 该程序导致显著的放射和功能改进.
- 需要进行进一步的比较研究,以便为这一群体建立最佳的外科手术技术.
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