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一个新的本土内镜辅助手术用于可吸收的足底筋炎:一个案例系列

Rajesh Simon¹, Sunish Zachariah², Nizaj Nasimudeen³

¹Division of Foot and Ankle Amd Podiatry, VPS Lakeshore Hospital, Kochi, India.

Indian journal of orthopaedics

|January 16, 2026

概括

使用可重复使用的仪器进行内镜足部带膜释放,有效治疗部疼痛. 这种成本意识的方法提供了显著的疼痛缓解和功能改善,使其适合资源有限的设置.

科学领域:

整形外科手术整形外科手术
最少侵入性手术的方法
外科手术仪器仪表的使用

背景情况:

脚带炎是成年人部疼痛的主要原因,当保守方法失败时,通常需要进行手术干预.
内镜足部带膜释放 (EPFR) 是一种具有良好的结果的微创手术选择.
对于EPFR来说,一次性仪器的高成本限制了其在低资源环境中的可访问性.

研究的目的:

评估EPFR的临床有效性和安全性,使用可重复使用,负担得起的仪器.
为更广泛的实施提供成本意识替代一次性EPFR套件.

主要方法:

一个潜在的病例系列,包括24名患有难以治疗的足底带炎的患者,他们使用可重复使用的仪器进行EPFR.
使用AOFAS后脚评分和视觉模拟尺度 (VAS) 对疼痛的术前和12个月术后评估.
使用配对t测试 (p < 0.05) 进行统计分析以确定显著性.

主要成果:

在AOFAS分数的显著改善,从59.2到84.4 (p < .001).
在VAS疼痛得分从8.1到2.4 (p <.001) 的实质性减少.
91.7%的患者报告说疼痛缓解没有重大并发症.

结论:

用可重复使用的仪器进行EPFR是一种安全有效的手术治疗脚筋炎.
这种方法产生了显著的疼痛缓解和功能收益.
可重复使用的仪器为资源有限的设置提供了实用,经济高效的替代方案.

关键词:

内镜脚部护膜释放的内镜.脚下带炎是一个病.

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