在近距离到远距离的状关节角和在Hallux Valgus变形中Hallux Pronation之间的关系
Yun Jae Kim1, Ho-Seong Lee1, Young Rak Choi2
1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.
Scientific reports
|January 2, 2025
概括
哈卢克斯发声不会显著影响近端到远端的节关节角 (PDPAA). 在仅用远端骨骨切除术 (DCMO) 治疗的骨 (HV) 患者中,较大的手术前PDPAA与更高的复发率相关,这表明Akin骨切除术可能是有益的.
科学领域:
- 整形外科手术 整形外科手术
- 足部医学 足部医学
- 放射性分析 放射性分析
背景情况:
- (HV) 是一种常见的脚形.
- 手术纠正后的复发仍然是一个问题.
- 对放射测量和外科手术结果的影响还不完全理解.
研究的目的:
- 为了确定幻觉前置是否会影响近端至远端的节关节角 (PDPAA).
- 评估PDPAA与HV的术后复发之间的关系.
- 评估不同手术技术在预防复发方面的有效性.
主要方法:
- 这是一项对94名HV患者进行的回顾性研究,这些患者接受了带有或没有Akin骨切除术的远端骨甲足骨切除术 (DCMO).
- 在施加压力下进行了手术前的放射图,以标准化脚的方向.
- 统计分析比较了PDPAA测量和不同组的复发率.
主要成果:
- 在承重和俯卧应力放射图之间,PDPAA测量没有显著差异.
- 与DCMO + Akin骨切除组相比,仅使用DCMO的组中,气的复发率明显高 (33.3%对7.6%).
- 在仅使用DCMO的组中,复发患者的手术前PDPAA值明显高于没有复发的患者.
结论:
- 在HV患者中,Hallux pronation对PDPAA没有显著的影响.
- 大量的手术前PDPAA与单独使用DCMO后复发的风险更高有关.
- 考虑对HV患者进行额外的阿金骨切除术,这些患者有很大的手术前PDPAA,这可能有助于预防复发.
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