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风险因素与下耳融合相关,发生在骨ORIF后的5年内

Elisabeth White¹, Sylvester Okoro¹, Ameer Tabbaa²

¹Maimonides Medical Center, Department of Orthopedic Surgery, 4802 Tenth Avenue, Brooklyn, NY 11219, United States; Morehouse School of Medicine, 720 Westview Dr, Atlanta, GA 30310, United States.

Foot (Edinburgh, Scotland)

|December 21, 2024

概括

患有抑郁症或肥胖症的接受骨骨折手术 (ORIF) 的患者面临更高风险,需要进行亚耳融合 (STF). 这些因素大大增加了需要在五年内使用这种二级程序的可能性.

科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
医疗服务研究医疗服务研究

背景情况:

卡尔卡纳骨折通常需要开放的减少内部固定 (ORIF).
在ORIF后的持续性疼痛和关节炎中,可能需要下耳融合 (STF).
鉴定骨ORIF后的STF风险因素对于患者管理至关重要.

研究的目的:

评估患者人口统计学,并发症和补偿数据作为经过骨ORIF后的STF风险因素.
为了确定特定的并发症和STF发病率之间的关联.
为了解决治疗策略,并优化骨骨折患者的治疗结果.

主要方法:

国家索赔数据库 (2010-2021) 的回顾性分析.
包括接受骨ORIF的患者.
多变量逻辑回归用于在5年的随访期内识别STF的风险因素.

主要成果:

在接受STF的患者中观察到更高比例的酒精滥用,抑郁症,药物滥用,肥胖和烟草使用.
抑郁症 (OR:1.54) 和肥胖 (OR:1.58) 与性传播疾病的几率增加显著相关.
在STF和非STF组之间没有发现报销数据或人口统计数据的显著差异.

结论:

滥用酒精,使用烟草,使用毒品,肥胖和抑郁症与对STF的需求增加有关.
这些并发症代表了影响骨折治疗的长期结果的关键风险因素.
这些发现强调了在手术规划和术后护理中解决这些患者因素的重要性.

关键词:

在骨科患者的并发症.骨折管理骨折管理术后并发症术后并发症

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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...