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在骨切除术后,在患有硬骨症的患者中恢复运动

P Ceccarini¹, M Donantoni¹, G Nuzzo¹

¹Department of Orthopedics and Traumatology, SM Misericordia Hospital, University of Perugia, Italy.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|August 14, 2025

概括

修改后的Youngswick骨切除术有效地治疗活跃成年人的中度硬化 (HR),使得他们能够迅速恢复运动. 这种关节保护性手术显著改善了疼痛,功能和运动范围,为融合提供了替代方案.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
脚和脚手术脚和脚手术

背景情况:

刚性 (Hallux rigidus,简称HR) 是一种退行性疾病,影响第一个甲足关节 (MTPJ).
它显著影响活跃的成年人和运动员,限制了运动和功能.
关节保护技术是首选的,而不是关节牺牲程序,如关节切除术,以维持功能.

研究的目的:

为了评估修改后的Youngswick骨切除术在治疗中度硬化的疗效.
评估临床结果,包括缓解疼痛,功能改善和恢复运动.
为了确定这种关节保护技术对活跃个体的适用性.

主要方法:

55名II级HR的活跃患者进行了回顾性观察性研究.
患者在2015年至2022年期间接受了修改后的Youngswick骨切除术.
通过视觉模拟尺度 (VAS),欧洲脚协会 (EFAS) 评分和至少24个月的随访后恢复体育 (RTS) 率来评估结果.

主要成果:

运动回归率高:94.2% (49/52名患者) 恢复活动.
在VAS得分 (p < .001) 和EFAS一般和体育特定得分 (p < .001) 中显著改善.
手术后的背部屈曲明显改善,从24.5°到52.5° (p < .001);并发症是最小的.

结论:

修改的Youngswick骨切除术是有效的关节保护手术选择,适度HR在活跃的成年人.
该程序提供了优秀的缓解疼痛,增强功能,并改善了运动范围.
它允许高回归体育的速度,作为一个可行的替代方案,以关节切除为活跃的生活方式.

关键词:

哈卢克斯硬度 (Hallux rigidus) 是一种硬质的体质.骨切除术 (osteotomy) 是一个骨切除术.回到体育运动的回归

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