LOTIC:在儿童进行三重关节切除后的长期结果 - - 一个回顾性的案例系列
Angelina Arora1, Tachelle Ting1, Zoe Smith2
1Department of Medicine, Flinders University, Bedford Park, SA 5042, Australia.
Children (Basel, Switzerland)
|January 28, 2026
概括
儿科三重关节损伤 (TA) 的长期结果显示出可变的结果,许多患者在成年后经历持续的疼痛和有限的功能改善. 这会影响生活质量,特别是对于那些已经有移动问题的人来说.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 患者报告的结果
背景情况:
- 三重关节切除 (TA) 是一种手术程序,将三个主要的脚关节合并在一起.
- 它用于儿科患者纠正形,增强稳定性和减少疼痛,通常用于神经肌肉疾病.
- 关于儿科TA后长期生活质量 (QOL) 的研究有限.
研究的目的:
- 为了回顾评估长期患者报告的小儿三重关节炎治疗的结果.
- 为了评估程序后成年人的功能状态和疼痛水平.
主要方法:
- 在1998年至2012年期间接受TA的儿科患者的回顾性审查.
- 通过电话采访收集患者报告的结果,使用足部和脚能力测量 (FAAM) 和曼彻斯特-牛津足部和脚问卷 (MOXFQ).
主要成果:
- 包括18名患者 (23英尺),平均随访时间为17年.
- 经常出现的主题包括持续的疼痛,功能障碍和移动性问题,特别是在非行走式手术前患者中.
- FAAM显示,日常生活活动的平均得分为39.81%,MOXFQ的平均总得分为34.99/64,超过一半的人报告持续疼痛.
结论:
- 儿科三重关节骨修术产生了可变的长期结果.
- 患者或他们的护理人员在成年后报告了有限的功能改善,持续的疼痛和负面的心理社会影响的关心率.
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