靠近的中部胃骨内膜衰退对于反复性的足底带炎
Gaston A Slullitel1,2, Pilar Martinez de Albornoz1, Anna Oller Boix1
1Hospital Universitario Quirón Salud, Pozuelo de Alarcón, Madrid, Spain.
Foot & ankle international
|May 8, 2024
概括
靠近的中部胃角膜衰退 (PMGR) 显著改善功能,并降低复发性脚下带炎 (RPF) 的疼痛. 这项研究证实了PMGR的存在.
科学领域:
- 整形外科手术 整形外科手术
- 足部医学 足部医学
- 运动医学 运动医学
背景情况:
- 复发性脚部带炎 (RPF) 是一个治疗挑战,因为它对保守措施的抵抗性.
- 对RPF的手术选择进行了讨论,但长期结果数据有限,规模大.
- 胃内膜衰退看起来很有前途,但广泛的后续研究很少.
研究的目的:
- 为了评估近位中位胃内膜衰退 (PMGR) 对RPF的疗效.
- 为了比较患者报告的体力表现 (FAAM-ADL) 和手术前和后的疼痛 (VAS).
- 评估PMGR后的中长期结果和患者满意度.
主要方法:
- 对167名接受PMGR的RPF患者进行了回顾性队列研究 (2009-2021).
- 收集了FAAM-ADL,VAS和满意度得分的基线数据,1年和长期随访.
- 记录了患者的人口统计,症状持续时间,改善时间,小牛的力量,Silfverskiold测试结果和并发症.
主要成果:
- 在手术前:FAAM-ADL 22.5,VAS 8.6.6. 在手术前:FAAM-ADL 22.5,VAS 8.6. 一年后的时间:FAAM-ADL 89,VAS 1.33 (P < .01).
- 长期随访 (>12.5年):FAAM-ADL中位数为86.4,VAS为1.90,满意度得分为1 (IQR为0-1).
- 低并发症率: 1 个侧面胃角膜衰退,1 个外侧神经神经炎.
结论:
- PMGR是一种有效的手术治疗复发性脚下带炎的方法.
- 这项研究提供了强有力的证据,采用了大量的样本规模和中长期的随访.
- 积极的结果支持PMGR作为耐火RPF病例的有价值选择.
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