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短与膝下截肢的团队方法在两组中都产生了同等的患者报告结果

Christopher M Ply¹, Hannah Soltani², Craig J Verdin³

¹Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; Washington DC, USA; Georgetown University School of Medicine, 3900 Reservoir Rd NW, Washington DC 20007, USA.

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

|November 12, 2025

概括

下肢截肢后患者报告的功能不是由截肢水平决定的,而是由并发症和心理痛苦决定的. 这项研究将中脚截肢与膝下截肢 (BKA) 相比较.

科学领域:

整形外科手术整形外科手术
重建性手术是一种重建性手术.
截肢手术截肢手术

背景情况:

在足中截肢 (Chopart或Lisfranc) 和膝下截肢 (BKA) 之间做出决定往往是主观的.
中脚截肢被认为是BKA的节约四肢的替代方案.

研究的目的:

为了比较患者报告的结果测量 (PROMs) 和中脚截肢 (Lisfranc和Chopart) 和BKA之间的并发症率.
为了确定影响下肢截肢后功能结果的因素.

主要方法:

一项回顾性队列研究包括73名成年患者,他们在2017年10月至2023年9月期间接受了Lisfranc,Chopart或BKA.
包括LEFS,PROMIS-3a,SRQ-20和CD-RISC在内的PROMs是在手术后至少6个月收集的.
中脚截肢被分组并与BKA进行比较,以了解并发症,修订率和PROMs.

主要成果:

18名患者中部截肢,55人患有BKA. 中脚截肢者出现更高的并发症 (16.7%与3.6%) 和修复手术率 (44.4%与18.2%).
患者报告的结果在中脚截肢和BKA组之间是相似的.
多变量分析表明,外周血管疾病和心理困扰,而不是截肢水平,与功能独立相关.

结论:

患者报告的功能受到并发症和心理健康状况的影响,而不是截肢水平 (中脚与BKA).
专注于功能和患者偏好的以团队为基础的方法对于优化结果至关重要.
截肢水平在这个队列中没有显著影响患者报告的功能结果.

关键词:

在膝下截肢的截肢.切割部分切割部分功能功能功能功能肢体的救援工作利斯法兰克语Lisfranc Lisfranc是一个法兰克语.患者报告的结果衡量患者报告的结果.

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