足部和脚外圈固定的并发症
Cody D Blazek1, Nicholas S Powers2, Paul R Leatham3
1*Department of Orthopedic Surgery and Department of Vascular and Endovascular Surgery, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC.
Journal of the American Podiatric Medical Association
|August 27, 2025
概括
脚部和脚的外部固定是常见的,但并发症发生. 肥胖会显著增加这些并发症的风险,
科学领域:
- 整形外科手术
- 生物机械工程
背景情况:
- 循环环外固定对于脚部和脚病理有效,特别是在复杂的病例中.
- 然而,这些程序在技术上具有挑战性,
研究的目的:
- 在脚部和脚手术中识别与圆环外部固定相关的并发症.
- 确定导致这些并发症的独立风险因素.
主要方法:
- 在99名患者中使用圆环外固定的100英尺或脚手术的回顾性审查.
- 分析患者的人口统计,固定剂的持续时间,适应症和结果.
- 对临床特征和并发症之间的关联进行统计测试.
主要成果:
- 在61名患者 (46名轻症,21名重症) 发生并发症.
- 肥胖 (高体重指数) 是并发症的显著预测因素 (概率高3.2倍).
- 糖尿病和沙科关节病也与并发症的增加有关.
结论:
- 脚部和脚的圆环外固定经常引起并发症,通常与细线问题有关.
- 在这项研究中,肥胖是最重要的并发症预测因素.
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