脱位症恶化后手术功能结果在置-外部旋转脚骨折中的位
Sheng-Ye Hu1, Mu-Min Cao2, Yuan-Wei Zhang3
1Department of Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
概括
置-外部旋转 (SER) 脚骨折中的脱位表明了更严重的损伤. 这会对功能恢复产生负面影响,导致疼痛增加和运动功能低下,特别是在SER IV病例中.
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
- 运动医学 运动医学
背景情况:
- Supination-external rotation (SER) 脚骨折是一种常见的损伤.
- 在SER骨折中出现脱位可能会影响功能结果.
- 了解这种关系对于患者的管理和预后至关重要.
研究的目的:
- 调查 SER 脚骨折患者的脱位和功能结果之间的关联.
- 为了比较SER脚骨折的功能恢复,有和没有脱.
主要方法:
- 在2015-2021年间经过手术治疗的190个SER脚骨折的回顾性病例系列.
- 患者被分为脱位和没有脱位的组.
- 在1年内使用足部和脚结局得分 (FAOS) 和美国骨科足部和脚协会 (AOFAS) 得分评估的功能结果.
主要成果:
- 69%的SER骨折涉及脱位,与较高的Lauge-Hansen等级和综合性螺丝固定有关.
- 脱的患者在体育/娱乐领域报告了显著较低的FAOS分数 (p < 0.001).
- 对SER IV骨折的亚组分析显示,脱位组的疼痛和体育/娱乐方面FAOS较差.
结论:
- 在SER脚骨折中脱意味着更严重的损伤.
- 脱位会对功能恢复产生负面影响,特别是疼痛和运动功能.
- 这些发现在SER IV脚骨折中尤为明显.
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