主要的亚关节骨折是选择的可行选择,对于被选中患有骨骨折的患者
Robin Eelsing1,2, Jens A Halm1,2, Tim Schepers1,2
1Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
The bone & joint journal
|February 28, 2026
概括
开放式减轻和内部固定与初级关节骨折显示了骨骨折的良好结果. 这种外科手术方法提供了与延迟关节切除相似或优于延迟关节切除的结果,指导未来的治疗决定.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 脚和脚手术 脚和脚手术
背景情况:
- 移位的关节内骨折是复杂的损伤,需要有效的外科治疗.
- 开放式缩减和内部固定 (ORIF) 结合底关节切除是一种手术选择.
- 鼻椎的方法为这些程序提供了一种最少的侵入性方法.
研究的目的:
- 通过 sinus tarsi 方法评估 ORIF 后的手术和功能结果和生活质量,使用初级亚关节切除.
- 为了将这些结果与ORIF和延迟的底关节骨折进行比较.
- 提供关于初级底关节骨修复的指示指南.
主要方法:
- 在62名患者中,追溯研究了64个位移的关节内骨折.
- 在2012年8月至2024年1月期间执行的程序.
- 评估手术结果和患者报告的结果措施 (PROMs),包括AOFAS,FFI和EQ-5D分数.
主要成果:
- 随访时间中位数为2.5年.
- 在92.2%的案例中实现了微型结合.
- 平均AOFAS得分为80.0,FFI得分为18.0,EQ-5D指数为0.843,EQ-5DVAS的平均值为81.0.
结论:
- 具有初级亚关节形的ORIF产生了良好的亚关节结合和功能结果.
- 结果与单独ORIF或延迟关节切除类似或优于ORIF.
- 支持在精选的患者中使用一次性亚关节节修复术,以改善结果并减少修复手术.
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