用仪器纠正与 - - 一个多中心放射性评估
Jody Peter McAleer1, Paul Dayton2, Mindi Dayton2
1Jefferson City Medical Group, Department of Podiatry, Jefferson City, MO 65109, USA.
概括
这项研究提出了一种新的手术技术,用于纠正结合的甲和甲变形. 这种新的方法证明了显著的放射性改善和患者的成功融合,为复杂的足部疾病提供了有前途的解决方案.
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
- 足部医学 足部医学
背景情况:
- 甲状腺 (MTA) 和 (HV) 经常共存,在治疗中提出复杂的挑战.
- 之前的MTA和HV组合的方法已经产生了不同的结果和高的复发率.
- 解决这些形需要创新的手术策略,以改善患者的结果.
研究的目的:
- 评估一种新的外科手术技术的早期放射和临床结果.
- 该技术涉及仪器辅助的第2和第3甲 (TMT) 纠正性关节切除术与仪器辅助的三平面第1甲关节切除术相结合.
- 该研究还评估了在手术后早期举重的可行性.
主要方法:
- 从四个机构治疗的43名患者 (43英尺) 的X光照和医疗记录的回顾性审查.
- 患者接受了一种新的手术方法,涉及仪器化TMT纠正性关节切除.
- 随访时间平均为17.7个月,评估包括放射性参数和临床结果.
主要成果:
- 在Sgarlato的角度,中足角,Hallux Valgus角度,小腿状位置和骨足宽度中观察到显著的改善.
- 新的Plumbline测量在基线显示出高的阳性率,在修正后的90.7%转换为负值.
- 所有43英尺都实现了稳定的关节,只有一个患者需要移除硬件.
结论:
- 仪器三平面校正和多平面锁定板固定显示有希望的放射性结果.
- 这种新的外科手术方法有效地纠正并存的MTA和HV形.
- 有利的愈合和稳定的关节形表明,这种技术是复杂的足部形的可行选择.
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