关节畸形足治疗评估:至少 10 年的随访。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243202e275561
Monica Paschoal Nogueira, Jordana Brandão Caiafa, Alessandra Porto Pereira Galdez, Rodrigo Pastick Fujino, Fernando Farcetta
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引用次数: 0

摘要

目的采用 36 项简表(SF-36)和疾病特异性工具(DSI),对接受广泛手术治疗且随访至少 10 年的关节发育不良患者的临床、放射学和生活质量进行评估:方法:一项回顾性研究选取了 33 名患者,共 64 只手术过的脚:患者的平均年龄为 17.9 岁(12-39 岁),平均随访时间为 14.8 年(11-17 年)。肌萎缩症占综合征诊断的78.7%。21.8%的足进行了孤立的后内外侧松解术(PMLR),其中27.2%需要进行额外的骨手术,约50只足(78.1%)进行了PMLR、外侧柱缩短术和/或距骨切除术。总共进行了 46 例距骨切除术(占足的 71.8%),其中 44 例是首选手术。SF-36调查问卷显示,93.9%的患者没有局限性和致残性疼痛,同样比例的患者认为自己身体健康,对未来有良好的预期:结论:关节突畸形足很难治疗,需要多次反复手术治疗,复发也是常事。僵硬是这些足的常见特征,残余畸形也很常见。证据等级 IV;病例系列,治疗研究。
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EVALUATION OF ARTHROGRYPOTIC FOOT TREATMENT: MINIMUM 10 YEARS FOLLOW-UP.

Objective: To evaluate patients with arthrogryposis submitted to extensive surgical treatment with a minimum of 10 years of follow-up regarding the clinical and radiological aspects and the quality of life, using the 36-Item Short Form (SF-36) and the Disease-Specific Instrument (DSI).

Methods: A retrospective study selected 33 patients, totaling 64 operated feet.

Results: The mean age of the patients was 17.9 years (12-39 years), and the mean follow-up time was 14.8 years (11-17). Amyoplasia represented 78.7% of syndromic diagnoses. Isolated posteromedial lateral release (PMLR) was performed in 21.8% of the feet, 27.2% of which required additional bone surgery, and about 50 feet (78.1%) were submitted to PMLR, lateral column shortening, and/or talectomy. In total, 46 talectomies were performed (71.8% of the feet), out of which 44 were the first procedure of choice. SF-36 questionnaire was evaluated and showed that 93.9% of the patients did not have restrictive and disabling pain, and the same percentage considered themselves as healthy and had good expectations for the future.

Conclusion: Arthrogrypotic feet are difficult to treat, require many recurrent surgical procedures, and relapses are the rule. Stiffness is a common feature of these feet, and residual deformities were frequent. Level of Evidence IV; Case Series, Therapeutic Studies.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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