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重新审视关节关节术:对技术,结果和并发症的系统审查

Muhammad Y Raufi¹

¹Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.

|July 28, 2025

概括

关节关节切除技术显示出类似的疼痛缓解,但关节透视融合提供了比开放融合更短的住院时间和更好的结果. 需要进一步的研究来标准化有效的脚融合方法.

科学领域:

整形外科手术整形外科手术
生物机械工程生物机械工程

背景情况:

关节关节切除术是治疗末期关节关节炎和形的标准治疗方法.
手术选择包括开放式,关节镜式和迷你开放式脚融合技术.

研究的目的:

为了比较关节关节切除的手术方法和技术.
评估结果,包括并发症,住院,缓解疼痛和功能.

主要方法:

按照PRISMA指南进行系统审查.
包括比较研究 (RCT,非RCT,观察性研究).

主要成果:

在前置/横置或Ilizarov/内部固定技术之间,疼痛 (VAS分数) 没有显著差异.
关节镜融合导致更短的住院时间 (2.5天) 与开放融合 (3.7天) 相比.
关节镜融合显示出优越的关节骨关节炎量表 (AOS) 和SF-36物理分数.

结论:

需要就最佳的关节关节切除技术达成共识.
进一步的研究对于完善外科手术方法至关重要.

关键词:

脚和脚的脚和脚的脚.脚关节关节切除术脚关节切除术脚融合关节整形术脚骨关节炎脚骨关节炎整形外科和创伤学

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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...