一个孤立的修改 Lapidus 程序可以改变后脚的对齐吗? 一个回顾性放射性研究研究
Ramy Samargandi1, Aimery Sabelle2, Jean Brilhault3
1Orthopedic Surgery Department, College of medicine, University of Jeddah, Jeddah, Saudi Arabia.
概括
修改后的拉皮杜斯手术显著降低了后脚在接受第一个tarsometatarsal关节 (TMT-1) 关节切除术的患者. 这种手术技术对中间柱和后脚对齐有稳定作用.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚重建 脚和脚重建
- 放射学分析 放射学分析
背景情况:
- 第一个甲关节 (TMT-1) 关节切除是气的常见手术.
- 修改后的拉皮杜斯手术稳定了中间柱.
- 对后脚对齐的潜在影响尚未完全理解.
研究的目的:
- 为了评估修改后的拉皮杜斯手术对冠状后脚对齐的影响.
- 评估中间柱稳定对塔拉尔定位的影响.
- 分析TMT-1关节切除后的后脚对齐的放射变化.
主要方法:
- 在40名患者中,对54英尺的回顾性放射分析.
- 患者接受了隔离的修改拉皮杜斯手术,用螺丝和板固定.
- 承重X射线 (dorsoplantar,横向,Méary视图) 在手术前和后 (12个月) 进行分析.
主要成果:
- 使用梅里圆角 (p < 0.001) 观察到后脚的显著减少.
- 报告Djian的后脚角显著下降 (p < 0.001和p = 0.004).
- 在放射测量中,观察者之间的可靠性很好 (ICC = 0.87 和 0.80).
结论:
- 修改后的拉皮杜斯手术导致后脚的显著放射性改善.
- 该程序对中间柱和后脚表现出稳定作用.
- 这些发现可以指导平脚形形形的手术规划,等待临床验证.
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