在手术前的相对第二大足长度和手术后的转移性大足疼痛之间的关系后的足形手术
Bekir Karagoz1, Hunkar Cagdas Bayrak2, Durmuş Ekin Dincer1
1Department of Orthopaedics and Traumatology, Eskişehir City Hospital, Eskişehir, Türkiye.
Acta orthopaedica et traumatologica turcica
|January 24, 2026
概括
手术前的相对第二足长度预测了足手术后的转移足疼痛. 测量2毫米可以识别患有这种并发症风险较高的患者.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 放射学分析 放射学分析
背景情况:
- 转移甲关节疼痛是华氏体外科手术后的潜在并发症.
- 确定这种并发症的预测因素对于手术规划至关重要.
研究的目的:
- 为了研究手术前相对第二足长度和转移足疼痛之间的关联.
- 为了评估该术后并发症的相对第二足长度的预测值.
主要方法:
- 追溯对126名接受华氏体外科手术的患者进行审查.
- 在手术前测量相对的第二足长度,足角 (HVA) 和足间角 (IMA).
- 多变量后勤回归和ROC曲线分析,以确定转移甲关节疼痛的预测因素.
主要成果:
- 在患有转移甲关节痛 (P < .001) 的患者中,术前相对第二甲关节长度显著增加 (P < .001).
- 相对的第二足长度是唯一显著的预测因素 (OR:5.176).
- ROC分析发现了2毫米的值,敏感度为79.4%,特异性为78.2%.
结论:
- 手术前的相对第二足长与转移足疼痛有显著的相关性.
- 2毫米的切割值可以识别有风险的患者,有助于手术规划和患者咨询.
- 这种放射性参数为预测术后并发症提供了宝贵的见解.
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