长到短的形并没有改善脚功能结果:一项前性队列研究
Manit Arora1, Sachin Tapasvi2, Tapish Shukla1
1Department of Orthopaedics and Sports Medicine, Fortis Hospital Mohali, Punjab, 160022 India.
Indian journal of orthopaedics
|April 25, 2025
概括
在移植收获期间,长 (PL) 肌的切不会改善脚功能得分. 这项研究发现,在经手术后的结果中,在十度治疗组和没有十度治疗组之间没有显著的差异.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械研究 生物机械研究
背景情况:
- 长 (PL) 移植收获越来越多地用于带重建.
- 标准的PL收获技术包括从PL树干到骨 (PB) 的化.
- 仅有有限的证据可以比较tenodesis和没有tenodesis的功能结果.
研究的目的:
- 为了评估形术对手术后脚功能结局得分的影响,在PL移植收获后.
- 为了比较经过十度治疗的患者和未经过十度治疗的患者之间的功能结果.
主要方法:
- 对200名接受PL移植收获的患者进行前性队列研究.
- 患者被划分为十度治疗 (n=128) 和没有十度治疗 (n=72) 组.
- 评估了手术前和手术后 (6周,3个月,6个月,1年) 美国整形足和脚协会 (AOFAS) 和功能脚残疾指数 (FADI) 的得分.
主要成果:
- 在任何随访间隔中,AOFAS和FADI得分在两组之间没有显著差异,除了在6周没有度组的略有更好的得分 (p<0.05),这些得分在临床上没有显著意义.
- 在6周的分数差异的幅度是最小的.
- 年龄,性别和游戏水平并没有影响脚功能结果.
结论:
- 从PL到PB的十度测试与没有十度测试相比,没有提高术后脚功能结局得分.
- 进一步的研究是有必要的,以调查形与无形的生物力学影响 (转向,脚部屈曲,步态).
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