关节炎脚部治疗的评估:至少10年的随访
Monica Paschoal Nogueira1, Jordana Brandão Caiafa2, Alessandra Porto Pereira Galdez3
1Hospital do Servidor Público Estadual, Department of Pediatric Orthopaedics and Limb Reconstruction, São Paulo, SP, Brazil.
Acta ortopedica brasileira
|June 27, 2024
概括
关节脚的广泛手术可以产生良好的长期结果,大多数患者报告没有残疾疼痛和积极的未来前景. 这项研究评估了复杂的足部手术后的临床,放射和生活质量结果.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 重建性手术是一种重建性手术.
背景情况:
- 在足部形管理方面,Arthrogryposis multiplex congenita带来了重大挑战.
- 关节脚的手术干预通常是广泛的,可能需要多次手术.
- 了解这些复杂治疗后的长期结果和生活质量至关重要.
研究的目的:
- 评估对关节脚进行广泛的手术治疗的长期临床和放射性结果.
- 在至少10年的随访后,评估关节结症患者的生活质量.
- 用验证的仪器,如SF-36和DSI进行全面的患者评估.
主要方法:
- 在33名患者的回顾性研究中,总共进行了64次手术.
- 最少10年的随访期.
- 使用36项简单表格 (SF-36) 和疾病特定仪器 (DSI) 问卷进行评估.
主要成果:
- 平均随访时间为14.8年; Amyoplasia是最常见的诊断 (78.7%).
- 程序包括后中侧释放 (PMLR),侧柱缩短和切 (71.8%的脚).
- 93.9%的患者报告说没有残疾性疼痛,并且对未来有很好的预期.
结论:
- 关节形脚带有复杂的治疗挑战,复发率高,残留形.
- 尽管复杂,广泛的手术治疗可以带来有利的长期功能结果和改善生活质量.
- 刚性仍然是一个共同的特征,强调需要在管理策略中继续进行研究.
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