单切口与双切口布罗斯特罗姆古尔德钙骨截骨术和腓肠肌肌腱清创手术的安全性和有效性对比。

IF 1.3 4区 医学 Q2 Medicine Journal of Foot & Ankle Surgery Pub Date : 2024-08-14 DOI:10.1053/j.jfas.2024.08.003
Mila Scheinberg MD, MS , Travis Fortin MD , Matthew McCrosson MD , Ting Dan Zhang BS , Juan Campos MS, BS , Marc Bernstein MS , Ashish Shah MD
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引用次数: 0

摘要

手术干预,如布罗斯特伦-古尔德手术,通常适用于慢性外侧踝关节不稳的患者。在这项研究中,我们比较了Broström-Gould手术与腓骨肌腱清创术、滑动外侧小腿骨截骨术以及单切口与双切口辅助手术的安全性和有效性。我们的回顾性分析包括 2011 年至 2020 年期间接受相关手术的患者。患者被分为两组:接受单切口(53 人)或双切口(47 人)手术的患者,两组均进行了小腿外侧截骨术。双切口组(n=6(13%))和单切口组(n=0(0%))在皮桥断裂方面存在明显差异。两组患者在感染、深部伤口裂开、神经麻痹或神经瘤方面没有明显差异。此外,两组患者的 PROMIS 平均评分也没有明显的统计学差异。所描述的布罗斯特伦-古尔德手术为治疗慢性踝关节不稳带来了希望。虽然单切口组和双切口组患者的术后并发症发生率相似,但单切口组皮桥断裂的发生率较低,这凸显了该方法的安全性以及在减少伤口相关并发症方面的潜在优势。
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Safety and Efficacy of One vs Two Incision Broström Gould with Calcaneal Osteotomy and Peroneal Tendon Debridement Surgery
Surgical intervention, such as the Broström-Gould procedure, is typically indicated for patients with chronic lateral ankle instability. In this study, we are comparing the safety and efficacy of the Broström-Gould procedure with peroneal tendon debridement, a sliding lateralizing calcaneal osteotomy, and adjuvant procedures performed with a single- versus double-incision approach. Our retrospective analysis included patients who underwent the procedure of interest between 2011 and 2020. Patients were divided into 2 groups: undergoing either a 1-incision (n = 53) or a 2-incision approach (n = 47), both with a lateralizing calcaneal osteotomy. A significant difference in skin bridge breakdown was observed between the 2-incision (n = 6 [13%]) and 1-incision groups (n = 0 [0%]). There were no significant differences in infection, deep wound dehiscence, nerve palsy, or neuroma between patients in the 2 groups. Furthermore, no statistically significant differences in mean PROMIS scores existed between the cohorts. The described Broström-Gould procedure shows promise for treating chronic ankle instability. While patients in both single- and double-incision groups had similar rates of postoperative complications, the decreased incidence of skin bridge breakdown in the 1incision group highlights the approach's safety and potential benefits in reducing wound-related complications.
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来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
期刊最新文献
Modified Lapidus Procedure with a Nitinol Staple and Two Screw Construct Technique. Assessment of peroneal tendon lesions using 2-dimensional and 3-dimensional isotropic magnetic resonance imaging with surgical correlation. Comparison of Shock Wave Therapy and Low-Dye Tape Method in Patients with Plantar Fasciitis: A Randomized Controlled Study. Ankle fractures reduction under direct visualization. Superiority of anatomical landmarks versus radiological evaluation- A randomised control trial. The 100 Most Impactful Articles in Foot and Ankle Surgery: An Altmetric Analysis.
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