胫跟关节融合术:前路入路与经腓骨入路的比较。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233105e267148
Abdulrahim Dündar, Deniz Ipek
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引用次数: 0

摘要

目的:本研究的目的是评估终末期踝关节骨性关节炎患者采用固定入路和前路进行踝关节融合术的临床、放射学结果和并发症。方法:在2016年至2022年间,纳入了41名符合本回顾性比较分析纳入标准的患者。其中,19名患者被纳入前部入路组,22名患者被列入固定入路组。参与者的平均年龄为58.9岁。收集的数据包括BMI、美国足踝矫形学会(AOFAS)后脚量表、视觉模拟量表(VAS)评分、糖尿病、吸烟、融合时间、骨不连、愈合率、术前和术后冠状胫距角和并发症。结果:前路入路组的平均骨愈合时间为14.3周(11-17周),而固定入路组为11.3周。两组之间存在统计学上的显著差异。不愈合发生在一个病例在穿透入路组和三个病例在前入路组。两组骨不连发生率差异无统计学意义(p=0.321),两组AOFAS评分相近,差异无统计学意义(分别为p=0.491,p=0.448,p=0.146,p=0.073,p=0.173,p=0.506)。证据水平III,回顾性比较研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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TIBIOCALCANEAL ARTHRODESIS: A COMPARISON OF ANTERIOR APPROACH AND TRANSFIBULAR APPROACH.

Objective: The aim of this study was to evaluate the clinical and radiologic results and complications of patients who underwent ankle arthrodesis performed by the transfibular approach and anterior approach in end-stage ankle osteoarthritis.

Methods: Between 2016 and 2022, 41 patients who satisfied the inclusion criteria for this retrospective comparative analysis were included. Of them, 19 patients are included in the anterior approach group and 22 patients are included in the transfibular approach group. The mean age of the participants is 58.9 years. Collected data included the BMI, American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale, visual analogue scale (VAS) score, diabetes, smoking, time to fusion, nonunion, union rate, preoperative and postoperative coronal tibiotalar angle and complications.

Result: The mean time to bone union was 14.3 weeks (range 11-17 weeks) in the anterior approach group, and 11.3 weeks in the transfibular approach group. Statistically significant difference was found between the two groups. Nonunion occurred in one case in the transfibular approach group and three cases in the anterior approach group. There was no significant difference in the nonunion rate between the both groups (p = 0.321). VAS score, and AOFAS score of the two groups were similar and no significant differences were found (p = 0.491, p = 0.448, p = 0.146, p = 0.073, p = 0.173, p = 0.506, respectively).

Conclusions: A stable and firm ankle arthrodesis and plantigrade foot can be achieved with both transfibular approach and anterior approach technique. Level of Evidence III, Retrospective Comparative Study.

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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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