影响后脚融合指甲对急性伤害的结果的因素:一个多中心研究
Eugene Kim1, Paul Tornetta1, Jon B Carlson2
1Department of Orthopaedic Surgery, Boston Medical Center, Boston, MA.
Journal of orthopaedic trauma
|February 13, 2026
概括
用于关节和支柱骨折的后脚融合指甲显示出高并发症率,特别是在胰岛素依赖糖尿病患者中. 联合准备可以改善关节融合,但不能改善整体骨折联合.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 骨折管理 骨折管理
背景情况:
- 后脚的融合指甲用于急性脚和支柱骨折.
- 患者因素和手术技术可以影响结果.
- 并发症率和恢复功能是关键问题.
研究的目的:
- 评估联合准备和患者因素对结果和并发症的影响.
- 评估后脚融合指甲在治疗脚和支柱骨折中的有效性.
主要方法:
- 从15个创伤中心的149名患者的回顾性图表审查.
- 纳入标准:急性脚/脚骨折 (AO-OTA A-C),年龄≥18岁,随访时间≥6个月.
- 结果:手术后的门诊状态,感染和骨折相关的并发症.
主要成果:
- 85%的人恢复到受伤前的门诊状态;联合准备没有影响这一点.
- 联合准备增加了关节融合 (94%对24%) 和减少了硬件移除 (19%对42%).
- 胰岛素依赖性糖尿病与更高的传染性并发症 (31%对15%) 和截肢 (17%对4%).
结论:
- 后足融合指甲在急性脚/脚伤害中具有很高的并发症率.
- 胰岛素依赖性糖尿病显著增加并发症风险.
- 联合准备可以增强关节融合,但不能增强骨折结合;整体恢复到受伤前的状态为57%.
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