使用关节外骨切除术进行皮肤穿透的子脚正:对患者报告的结果和并发症的回顾性研究
Brian G Loder1, Akram Aljumail2, Denny A Cherry3
1Fellowship Director, Michigan Minimal Invasive Foot & Ankle Surgery Fellowship, 15760 19 Mile Rd Suite E, Clinton Township, Michigan 48038.
概括
通过皮肤纠正较小的脚变形,可显著改善患者的功能,并减少疼痛. 这种微创手术显示出低并发症率,为纠正子脚提供了一个安全的替代方案.
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
- 脚和脚重建 脚和脚重建
背景情况:
- 小脚变形,如脚,显著影响患者的生活质量.
- 传统的开放性手术纠正可能涉及广泛的软组织破坏和长时间的恢复.
- 穿皮技术提供了一种不那么侵入性的方法来解决这些形.
研究的目的:
- 评估使用外关节骨切除术进行小脚变形的穿皮正的临床和功能结果.
- 评估患者报告的结果,并确定与手术相关的术后并发症.
- 为了比较穿皮正的疗效与传统的开放方法.
主要方法:
- 对41名患者进行的98次皮肤穿透子脚纠正手术的回顾性审查 (2019年4月至2024年4月).
- 排除涉及关节间关节切除或隔离第五脚纠正的程序.
- 使用足部功能指数 (FFI) 评估的功能结果在手术前和手术后 (至少12个月的随访).
主要成果:
- 整体FIFI分数 (86.3到34.9,p < 0.0001) 的显著改善.
- 在疼痛 (p < 0.0001) 和残疾 (p < 0.0001) 中的统计学显著改善.
- 常见的并发手术包括状的纠正 (46%);复发 (7%) 和囊释放 (5%) 是最常见的并发症.
结论:
- 使用关节外骨切除术进行皮肤间修复小脚变形是一种安全有效的治疗方法.
- 该程序显著提高了患者报告的结果,并发症概况较低.
- 建议进一步研究,将长期结果与开放技术进行比较.
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