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经过手术治疗的创伤性脚损伤的流行病学,并发症和患者报告的结果

Thirza A Berk¹, Quirine M J van der Vliet², Adele Usai¹

¹Department of surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

|September 18, 2025

概括

手术治疗的脚损伤会导致持续的功能障碍,患者无法恢复到受伤前的生活质量. 这项关于手术足部损伤的研究结果有助于管理患者的期望.

科学领域:

整形外科手术整形外科手术
创伤学创伤学创伤学
患者报告的结果

背景情况:

在手术治疗足部损伤后,关于生活质量和功能性的文献有限.
由于这种数据缺口,管理患者的期望是具有挑战性的.
这项研究旨在前性地评估手术治疗的足部损伤的长期结果.

研究的目的:

为了前性地评估长期的患者报告和手术治疗的足部损伤的临床结果.
为有效的患者期望管理提供数据.

主要方法:

一项多中心前性队列研究包括了因创伤性足骨折/脱位而接受手术治疗的成年患者.
收集的数据包括人口统计,治疗,EuroQol (与健康相关的生活质量),美国整形足和脚协会 (AOFAS) 尺度 (功能),满意度,恢复工作/运动,并发症和两年后续的重新手术.
统计分析使用弗里德曼测试和最小重要的差异来确定显著变化.

主要成果:

患者报告了与创伤前水平相比,EuroQol评分的显著,临床相关下降,没有恢复到基线.
术后的EQ-VAS显示在1年和2年之间有所改善.
前脚受伤导致了更好的EuroQol和运动功能,但更低的满意度;并发症率因受伤位置而异 (前脚50%,中脚19%,后脚44%),创伤后关节炎和感染是最常见的. 超过一半需要切除植入物,大多数重复手术是用于二次关节切除或修复.

结论:

急性足部损伤的手术治疗导致在两年后续时持续的功能障碍.
患者报告的结果,特别是疼痛和通常活动的限制,显示出显著的缺陷.
这些发现为管理患者在足部受伤外科手术后恢复和长期功能方面的期望提供了有价值的数据.

关键词:

失调的失调是一种失调的现象.脚脚脚脚脚脚脚脚骨折骨折骨折骨折是一种功能功能功能功能患者报告的结果措施 (PROMs)生活质量 (QoL)再干预重新干预恢复运行重新启动修订修订修订满意度是一种满足感.运动运动运动运动运动工作工作工作工作工作工作.

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