最少侵入性拉皮杜斯手术后并发症的发生率
Taylor C Fullmer1, Rosemary J Thompson1, Andrew D Elliott1
1*Gundersen Health System, La Crosse, WI.
Journal of the American Podiatric Medical Association
|June 25, 2025
概括
对于体体融合的最小侵入性拉皮杜斯手术显示出12.3%的并发症率,低于开放手术. 这种最新的技术是纠正第一射线变形的安全选择.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 最少侵入性手术的方法
背景情况:
- 拉皮杜斯手术已经适应了美国的微创手术 (MIS).
- 由于学习曲线和有限的长期结果数据,MIS技术面临挑战.
- 对于更新的MIS Lapidus程序的并发症率仍然没有评估.
研究的目的:
- 系统地审查和确定与最小侵入性拉皮杜斯手术相关的并发症的发生率.
- 为了评估这种MIS技术的安全性和可重复性,用于塔尔索米塔关节融合.
主要方法:
- 系统审查电子数据库和同行评审的文献,遵守PRISMA指南.
- 纳入标准:MIS Lapidus (tarsometatarsal fusion),使用固定,至少6个月的随访,报告的并发症.
- 排除标准:尸体研究,技术指南,非英语研究.
主要成果:
- 五项涉及162英尺的研究符合纳入标准.
- 整体并发症发生率为12.3% (20的162英尺).
- 最常见的并发症:硬件疼痛 (9),非联合 (5),变形复发 (3),神经血管损伤 (3).
结论:
- 最少侵入性拉皮杜斯手术是一种安全和可重复的手术选择,用于需要尾尾融合的第一光变形.
- 复杂性发生率似乎低于公开手术变异的报告.
- 对长期结果的进一步研究是有必要的.
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