修改的围巾骨切除术可能有能力用于治疗非常严重的形形变形
Takaaki Noguchi1, Makoto Hirao2, Yuki Tabuse3
1Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
BMC musculoskeletal disorders
|November 28, 2024
概括
修改的围巾骨切术有效地纠正形形 (HV) 形,即使在非常严重的情况下 (HVA ≥60°). 虽然成功,但在HVA超过60°之前的早期干预可能会产生更好的临床结果.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚重建 脚和脚重建
- 变形纠正 变形纠正 变形纠正
背景情况:
- 围巾骨切除术是中度至重度价 (HV) 的标准.
- 非常严重的HV (值角[HVA] ≥60°) 对于维持纠正提出了挑战.
- 围巾骨切除术对非常严重的HV的有效性尚不清楚.
研究的目的:
- 评估修改式围巾骨切除术对非常严重的HV变形 (HVA ≥60°) 的纠正效果.
- 评估纠正和临床结果的长期维持.
主要方法:
- 对93英尺的回顾性研究,随访时间平均为56个月.
- 根据严重程度分组的患者:40° ≤ HVA < 50°,50° ≤ HVA < 60°,HVA ≥ 60°.
- 评估的日本足部外科协会 (JSSF) 哈卢克斯分数,SAFE-Q和放射性参数.
主要成果:
- 在所有组的JSSF和SAFE-Q得分显著改善 (非常严重组的SAFE-Q社会活动除外).
- 放射性哈卢克斯角 (HVA) 显著改善,并在手术后保持稳定.
- 严重程度组之间并发症或复发率没有显著差异.
结论:
- 修改过的围巾骨切除术是非常严重的价 (HVA ≥60°) 的可行选择.
- 如果在HVA超过60°之前进行手术,可以实现最佳的临床评分改善.
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