创伤性中脚伤害的伤害机制:COVID-19大流行影响
Albert T Anastasio1, Aman Chopra2, Ryan M Ridenour3
1Department of Orthopaedic Surgery, Duke University, Durham, USA.
Cureus
|May 21, 2024
概括
这就是COVID-19大流行.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 脚和脚手术 脚和脚手术
背景情况:
- 随着COVID-19大流行,人们的日常生活发生了变化,减少了体力活动和机动车辆使用.
- 这些变化可能会影响需要手术治疗的骨科损伤的发生率和特征.
研究的目的:
- 评估COVID-19大流行封锁和脱条件对Lisfranc伤害的机制和严重性的影响.
- 为了比较手术管理的Lisfranc伤害中的受伤模式,在大流行之前和之后.
主要方法:
- 从2015年到2021年,对手术治疗的Lisfranc创伤的回顾性分析.
- 使用电子健康记录和放射性审查,比较COVID-19前 (n=15) 和COVID-19后 (n=15) 队列.
- 使用Nunley-Vertullo分类系统来对伤害严重程度进行分级.
主要成果:
- 在COVID-19后的队列中,脚下湿疹 (53%),神经病痛 (47%) 和胀 (80%) 的比率显著更高.
- 这两个队伍都主要受到低能量的伤害 (73%在COVID前,80%在COVID后).
- 伤害严重程度 (Nunley-Vertullo等级) 在队列之间没有显著差异.
结论:
- 尽管增加了诸如胀和疼痛等损伤严重程度的迹象,但COVID-19大流行并没有与低能量的机制引起的更高等级的Lisfranc损伤相关联.
- 需要进一步的研究,以了解与流行病相关的生活方式变化对骨科创伤的长期影响.
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