对于Charcot神经关节病的中脚梁板构造:一项群组研究与中期随访
Ryan G Rogero1, Patrick C McGregor1, William C Skinner1
1University of Tennessee Health Science Center-Campbell Clinic Department of Orthopaedic Surgery and Biomedical Engineering, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
概括
使用中间梁板构造的内辐射有效地纠正Charcot脚的变形,导致愈和截肢率降低. 这种外科手术技术有助于患者达到无,无的脚.
科学领域:
- 整形外科手术 整形外科手术
- 足部医学 足部医学
- 糖尿病人的足部护理
背景情况:
- 查科特神经关节病经常导致严重的中脚形,增加和截肢的风险.
- 传统的治疗方法在实现稳定,植物级,无的脚方面存在局限性.
研究的目的:
- 为了评估X射线和临床的结果,用一个补充的介质锁定板用于Charcot神经关节病.
- 评估该技术在纠正中脚形和治愈的有效性.
主要方法:
- 对40名患者 (41个四肢) 的回顾性图表审查,这些患者接受了中间梁板结构的治疗.
- 在手术前和手术后测量侧面梅里角,以评估变形的纠正.
- 评估愈率和重大截肢率.
主要成果:
- 观察到足中变形的显著纠正 (手术前 -31.0°到最后的术后 -14.4°,p < 0.001).
- 94.4%的先前存在的愈了,82.4%的患者获得了无的脚.
- 主要截肢率为17.1%,与以前的机构数据相比下降了26%.
结论:
- 带有中间梁板构造的内辐射是一种有效的技术,用于管理Charcot神经关节病.
- 活跃的可能不是这种重建性手术的禁忌.
- 该技术证明了持续的形纠正,并促进了无的结果.
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