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在Lisfranc开放缩减和内部固定后,硬件移除会改善身体功能

Oliver Sroka¹, Megan Campbell, Tyler Thorne

¹Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT.

Journal of orthopaedic trauma

|October 16, 2024

概括

在Lisfranc开放缩减和内部固定后去除硬件显著改善了身体功能和疼痛评分. 这项研究发现,与保留的硬件相比,移除硬件导致更好的PROMIS分数.

科学领域:

整形外科手术整形外科手术
创伤外科手术是什么
患者报告的结果.

背景情况:

丽斯弗朗克的伤害往往需要开放的减少和内部固定 (ORIF).
在ORIF对Lisfranc损伤后进行硬件移除 (HWR) 的决定进行了辩论.
PROMIS (患者报告结果测量信息系统) 评分评估身体功能 (PF) 和疼痛强度 (PI).

研究的目的:

为了评估HWR对PROMIS PF和PI得分的影响,根据Lisfranc ORIF.
为了比较接受HWR和保留硬件的患者之间的结果.

主要方法:

一级创伤中心的回顾性队列研究.
包括与ORIF (2002-2023) 治疗的成年患者与孤立的Lisfranc损伤.
分析了手术后6个月和1年的PROMIS PF和PI得分,比较HWR与没有HWR的组.

主要成果:

77英尺经过HWR,30英尺有ORIF没有HWR.
在切除后6周,HWR患者的PF得分显著增加 (P<0.001).
与保留的硬件相比,HWR导致PF (5.6分) 和PI (1.7分) 评分的显著净改善 (P = 0.002,0.008).

结论:

在Lisfranc ORIF之后的HWR导致PROMIS身体功能得分的显著改善.
与保留硬件患者相比,接受HWR的患者表现出优越的PROMIS身体功能和疼痛强度得分.

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