在第一个中足垂关节关节形术后,遵循不同的承重协议后的非联合发生率:系统性审查
Anthony Schwab1, Gregory Rose2, Andrew Meyr3
1Northern California Rearfoot and Ankle Reconstructive Fellowship, Shasta Orthopaedics and Sports Medicine, Redding, CA, USA.
概括
在第一个甲松关节 (MTPJ) 关节变形后,立即完全承重显示出最低的非联合率. 这种方法优化了核聚变的成功,与延迟载重协议相比,没有不良影响.
科学领域:
- 整形外科手术 整形外科手术
- 足部和脚的手术手术.
- 关节切除手术的方法
背景情况:
- 第一个甲松关节 (MTPJ) 关节切除有众多的固定选择,成功率很高.
- 在MTPJ关节形后的术后承重状态取决于外科医生.
- 有限的研究存在于重量承载对MTPJ关节形术非工会率的影响.
研究的目的:
- 系统地审查关于第一个MTPJ关节骨折后手术后承重状态的文献.
- 确定不同权重协议对非工会税率的影响.
- 为了在各种负载策略中比较工会的时间.
主要方法:
- 对40项研究的系统审查,包括3,222英尺的第一个MTPJ关节骨.
- 将患者分为耐受 (HWB),不承受 (NWB) 和完全承受 (FWB) 队列.
- 基于术后承重状况的非联合率和联合时间的分析.
主要成果:
- 最低的非工会率在全权重 (FWB) 队列 (4.34%) 中观察到.
- 耐受性 (HWB) 和非耐受性 (NWB) 的非工会率分别为8.20%和9.27% (p < 0.001).
- 与FWB (10.42周) 和HWB (12.18周) 相比,NWB组 (8.8周) 的结合时间最快 (p < 0.001).
结论:
- 立即完全承重与第一个MTPJ关节骨折后最低的非联合率有关.
- 权重地位显著影响非工会的比例.
- 与延迟协议相比,立即完全承重不会对融合成功产生不利影响.
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