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修改的的化为后脚缺陷重建:方法和初步结果
Rui Zhang1, Xiaoyu Wang1, Shenghe Liu1
1Department of Orthopedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Orthopaedic surgery
|August 30, 2024
概括
这项研究介绍了一种修改的小腿骨技术,用于严重的后脚骨损失,显示出良好的四肢纠正和改善患者功能. 简化程序允许更短的外部固定时间和更早的康复.
科学领域:
- 整形外科手术 整形外科手术
- 肢体的重建 肢体的重建
- 创伤外科 手术 创伤外科
背景情况:
- 后脚的大量骨质损失,特别是脚,带来了重大的重建挑战.
- 传统方法可能涉及复杂的程序,延长恢复时间.
研究的目的:
- 在巨大的骨骨损失的情况下,引入修改后的骨骨重建技术.
- 评估这种修改方法的初步临床结果和可行性.
主要方法:
- 在2015年1月至2021年12月期间,对10名单边损失的患者进行了修改后的骨骨技术.
- 临床结果使用美国骨科足协会 (AOFAS) 评分和症状检查清单-90-修订 (SCL-90-R) 问卷进行了评估.
- 配对的t测试被用来进行术前和术后参数的统计比较.
主要成果:
- 平均获得的小腿骨延长为77.3毫米,平均外部固定持续时间为123.7天.
- 所有患者都表现出良好的肢体形纠正,平均随访时间为29.7个月.
- 八名患者在AOFAS得分上取得了良好的结果,两名患者在AOFAS得分上取得了公平的结果,SCL-90-R指数得到了改善.
结论:
- 修改后的小腿骨骨技术是管理总骨损失的可行选择,与有限的并发症相关.
- 简化程序有助于缩短外部固定期,使得患者能够更早地康复.
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