美国成人Lisfranc伤害的流行病学和管理:对21,964例的10年分析
Parshva A Sanghvi1, Rayyan Abid1, Helina D VanBibber1
1University Hospital Cleveland Medical Center, Cleveland, United States.
Archives of orthopaedic and trauma surgery
|August 21, 2025
概括
主要的Lisfranc伤害发生率为每10万人/年22.4,年龄在40至44岁的人群中达到顶峰. 每年大约有40%的患者接受手术治疗,其中开放式内置是最常见的手术.
科学领域:
- 整形外科手术
- 创伤研究
- 流行病学
背景情况:
- 利斯弗朗克伤害是一种复杂的足部创伤,发生率和治疗模式各不相同.
- 了解人口因素和手术趋势对于有效的患者管理至关重要.
研究的目的:
- 确定2014年至2024年全国范围内Lisfranc初级伤害的发生率.
- 分析人口因素的发生率.
- 在治疗一年内确定手术干预率和常见程序.
主要方法:
- 使用美国TrinetX平台进行全国数据分析 (2014-2024年).
- 收集的人口数据 (年龄,性别,种族) 和 CPT 代码进行治疗分析.
- 每10万人/年的发病率.
主要成果:
- 记录了21,964个Lisfranc初级伤害,总发病率为每10万人/年22.4.
- 发病率在40至44岁的年龄组中达到峰值 (每10万人/年为33.6人/年),性别差不多.
- 大约40%的患者接受了手术治疗,其中最常见的是开放降低内部固定 (ORIF).
结论:
- 利斯弗朗克损伤发生率遵循正常分布,在中年人群中达到顶峰.
- 手术干预率很高,ORIF是主要的手术方法.
- 数据提供了关于Lisfranc伤害及其管理的国家趋势的见解.
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