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在前面和侧面的异形化方法完全关节置换:回顾评估

Giammarco Gardini¹, Silvio Caravelli¹, Carlo Capodagli¹

¹Istituto Ortopedico Rizzoli, Bentivoglio Unit, via Pupilli 1, Bologna, IT.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

|August 22, 2025

概括

在完全关节置换 (TAR) 后,异形骨化 (HO) 是常见的. 侧向方法 (LA) 显示HO发生率高于前向方法 (AA),影响了临床结果.

科学领域:

骨科手术
生物材料科学
放射学

背景情况:

异形骨化 (HO) 是全面关节置换 (TAR) 后的一个常见并发症.
有两种主要的手术方法,侧向方法 (LA) 和前向方法 (AA),但对HO发生率和影响缺乏共识.
对于HO后TAR的临床意义和干预需要尚不清楚.

研究的目的:

在TAR中比较LA和AA之间的HO发生率和临床影响.
确定与TAR后HO发展相关的风险因素.
评估HO严重程度与临床结果之间的相关性.

主要方法:

在105名接受ART治疗的患者中进行了回顾性,单一的比较研究 (证据水平III).
由两个独立的外科医生使用修改的布鲁克分类系统 (mBCS) 进行HO的放射分类.
临床评分 (FAAM,疼痛评分) 的分析和与HO严重性的相关性.

主要成果:

在80%的患者 (84/ 105) 观察到放射性HO,其中23% (19/105) 需要手术.
与AA组 (73%) 相比,LA组的HO发病率更高.
与较差的临床评分 (FAAM和疼痛评分) 相关.

结论:

与前方方法 (AA) 相比,TAR的侧面方法 (LA) 与异形骨化 (HO) 的发生率更高.
霍乱的严重程度直接影响临床结果,包括脚功能和疼痛.
年轻的患者年龄,延迟的动员和体重被确定为HO发展的危险因素.

关键词:

脚假肢之前的访问关节溶解不同类型的骨化侧面访问

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相关概念视频

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...