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脚骨折手术治疗2年后的功能性结果:一个队列研究

R Van Vehmendahl¹, S Ribbens¹, L van Silfhout¹

¹Department of Surgery, Radboudumc, Nijmegen, the Netherlands.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|December 12, 2025

概括

手术治疗的脚骨折往往导致不理想的功能结果,诸如年龄,BMI和并发症等因素会对恢复产生负面影响. 许多患者在手术后两年内无法恢复预期的功能.

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
康复医学康复医学康复医学

背景情况:

脚骨折是普遍存在的需要手术干预的伤害.
了解功能性结果对于患者的期望和治疗计划至关重要.
在手术固定脚骨折后的中期功能结果需要进一步调查.

研究的目的:

为了评估足骨折的手术治疗后的中期功能结果.
为了确定影响功能恢复的患者,骨折和治疗特征.

主要方法:

一项队列研究包括552名患者,他们在2016年至2020年期间接受了为脚骨折进行手术治疗.
从医疗记录中收集了患者,骨折和治疗细节的数据.
功能性结果使用下肢功能量表 (LEFS) 问卷进行评估,并通过线性回归分析预测因素.

主要成果:

随访时间中位数为2.3年,LEFS中位数得分为66.40.
骨折分类 (韦伯,古斯蒂洛) 并没有显著预测LEFS得分.
较高的年龄,BMI,ASA分类,三极管固定和并发症是较低功能结果的显著预测因素.

结论:

不到25%的患者在手术后两年达到健康人群的中位数功能评分.
年龄,BMI,ASA分类,广泛的手术固定和术后并发症是较差功能结果的关键预测因素.

关键词:

脚骨折脚骨折在脚骨折功能性的结果.利率金融机构 (LEFS) 是一个.进行手术治疗.

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