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在经过全脚置换术后,短期患上下关节关节炎的风险

Jae Yoon Kim¹, Cameron Meyer¹, Lauren Christie²

¹Fellow; Orthopedic Foot and Ankle Center Advanced Foot and Ankle Reconstruction Fellowship, 350 W. Wilson Bridge Rd, Ste. 200, Worthington, OH 43085.

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

|September 15, 2025

概括

干式全脚置换 (TAR) 植入物似乎限制了邻近的关节下关节 (STJ) 骨关节炎的进展,并在短期内减少了对二次STJ融合的需求.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
放射学放射学是一门学科.

背景情况:

关节骨关节炎 (OA) 严重损害了运动能力和生活质量.
完全关节置换 (TAR) 保持了关节动力学,但其对邻近关节退化的影响尚不清楚.
干式植入物在TAR中使用,对邻近关节健康有潜在的影响.

研究的目的:

评估茎植入物对关节下关节 (STJ) 骨关节炎进展的影响.
为了评估延迟的二次STJ融合的速度后,干TAR.
为了研究带茎脚假肢对邻近关节退化的影响.

主要方法:

对72名接受初级Stryker Inbone®干TAR的患者进行了回顾性分析.
平均随访时间为2.43年,STJ骨关节炎的放射和临床评估.
凯尔格伦-劳伦斯分数 (KLS) 用于评估STJ关节炎在手术前和后的变化.

主要成果:

在6.94%的患者中观察到STJ关节炎的放射性进展.
只有1.39%需要二次STJ融合;一个病例是由于无结合的无血管瘤.
七名患者报告STJ疼痛,保守地管理,放射性发现稳定.

结论:

茎状脚植入物显示出在限制邻近STJ关节炎的短期进展方面具有潜力.
这些发现有助于对茎植入物和相邻关节退行症的有限文献.
需要进一步的长期研究来证实这些短期观察.

关键词:

脚关节骨关节炎脚关节炎在Inbone®中使用.支架式全脚置换支架式全脚置换底关节骨关节炎底关节骨关节炎整体脚置换整体脚置换

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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...