相关实验视频

Updated: May 17, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

在移位的关节内骨骨折中进行的初级底关节骨折:一个系统的审查

A Giuliani^1,2, S Calori^3,4, A Singlitico^3,4

¹Department of Ageing, Neurosciences, Head-Neck and Orthopedics Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Francesco Vito 1, 00168, Rome, Italy. alessandro.giul95@gmail.com.

Musculoskeletal surgery

|May 15, 2025

概括

初级亚关节骨折 (PSA) 对移位的关节内骨折 (DIACFs) 提供了良好的结果,特别是桑德斯型IV. 这种方法避免了与传统手术相关的并发症,导致高融合率和减少疼痛.

科学领域:

整形外科手术整形外科手术
创伤学创伤学创伤学
足部医学足部医学

背景情况:

骨折是严重的伤害,通常是由于高能量的创伤造成的.
开放式减少和内部固定 (ORIF) 是移位的关节内骨折 (DIACFs) 的标准,但有显著的并发症.
主要亚关节切除 (PSA) 是一种获得关注的替代第一线治疗方法.

研究的目的:

系统地审查当前关于初级底关节骨折 (PSA) 的文献,作为移位关节内骨折 (DIACFs) 的第一线治疗方法.
评估PSA的疗效和结果,特别是对于桑德斯型IV骨折.

主要方法:

按照PRISMA指南进行的系统审查.
在PubMed,MEDLINE和Cochrane图书馆搜索相关研究.
包括9篇文章,共184名患者 (192例骨折) 接受了PSA治疗的骨折.

主要成果:

研究报告的高融合率 (94-100%) 平均融合时间为4.05个月.
美国骨科足脚协会 (AOFAS) 的平均分数为71.26分,视觉模拟量表 (VAS) 的疼痛分数为3.26.
平均随访时间为30.28个月;外科手术的平均时间是受伤后13.33天.

结论:

通过避免ORIF并发症,初级亚关节损伤 (PSA) 对DIACFs,特别是桑德斯类型IV的结果良好.
高的骨结合率和减少术后疼痛是显著的优势.
患者的并发症和变形纠正对于成功的PSA结果至关重要;需要进一步的研究.

关键词:

关节切除术 (英语:Arthrodesis) 是一种关节切除术.这是一种Calcaneal.骨折骨折骨折骨折是一种这是一个微小的小程序.

更多相关视频

A Mouse Model of Ankle-Subtalar Complex Joint Instability

A Mouse Model of Ankle-Subtalar Complex Joint Instability

Published on: October 28, 2022

$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$ 07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

相关概念视频

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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...