Connor C Ott, Ayush D Shah, Kayla J Seiffert, Rebecca Stone McGaver, Paul M Cammack, Scott M Holthusen, Jeffrey D Seybold, John C Tanner, William M Engasser
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引用次数: 0

摘要

背景:第一跗跖(TMT)关节置换术是每年为矫正拇指外翻畸形而实施的最常见手术之一,据报道,第一跗跖(TMT)关节置换术的不愈合率通常在 4% 到 15% 之间。本研究的目的是评估髓内钉系统对首次TMT关节置换术患者的有效性:方法:该研究是一项由多名外科医师参与的连续性病例系列研究,通过回顾性和前瞻性收集患者报告结果(PROM)和放射学数据。研究对象包括在2019年7月至2022年7月期间首次接受髓内钉系统TMT关节置换术治疗拇指外翻畸形的患者,这些患者在术后至少有3个月(±4周)的充足记录:最终分析纳入了 70 名患者,前瞻性 PROM 随访时间中位数为 1.6 年。总体吻合率为 91.4%(64/70 名患者)。九名患者需要进行二次手术:4例硬件移除,5例非愈合翻修。收集的PROMs和放射学数据显示,从术前随访到前瞻性随访,患者的病情有了显著改善(P < .01):结论:首次使用髓内钉系统进行TMT关节置换术的不愈合率和PROM与目前使用的其他技术相当:IV级:回顾性病例系列
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Radiographic and Patient-Reported Outcomes for First Tarsometatarsal Arthrodesis Using an Intramedullary Nail for Hallux Valgus Deformity A Consecutive Case Series.

Background: First tarsometatarsal (TMT) arthrodesis is one of the most common procedures performed each year for the correction of hallux valgus deformity, and nonunion rates for first TMT arthrodesis are commonly reported to be between 4% and 15%. The purpose of this study was to evaluate the effectiveness of an intramedullary nail system in patients requiring first TMT arthrodesis.

Methods: An ambispective, multisurgeon, consecutive case series was conducted, in which retrospective and prospective collection of patient-reported outcome measure (PROM) and radiologic data were conducted. Patients who underwent first TMT arthrodesis from July 2019 to July 2022 for hallux valgus deformity with an intramedullary nail system and had adequate records for a minimum of 3 months postoperation (±4 weeks) were included.

Results: Seventy patients were included in the final analysis, with a median prospective PROM follow-up of 1.6 years. There was an overall union rate of 91.4% (64/70 patients). Nine patients required secondary procedures: 4 hardware removals and 5 nonunion revisions. Collected PROMs and radiologic data showed significant improved from preoperative to prospective follow-up (P < .01).

Conclusion: First TMT arthrodesis using an intramedullary nail system result in nonunion rates and PROMs comparable to other techniques currently being used.

Levels of evidence: Level IV: Retrospective Case Series.

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Radiographic and Patient-Reported Outcomes for First Tarsometatarsal Arthrodesis Using an Intramedullary Nail for Hallux Valgus Deformity A Consecutive Case Series. Survey of Utilization of Weightbearing Computed Tomography Within AOFAS Membership. Association Between Pronation External Rotation IV Fracture Pattern and Regional Bone Density. The Wait Time for Surgery Following Injury Affects Functional Outcomes and Complications After an Ankle Fracture: A Propensity Score-Matched Multicenter Study, the TRON Study. Defining Operative Indications in Lisfranc Injuries: A Systematic Review.
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