术中足底压力测量在临床应用中是否有帮助——来自 100 例连续、前瞻性、随机、对照临床试验的初步结果。
Is intraoperative pedography helpful in clinical use--preliminary results of 100 cases from a consecutive, prospective, randomized, controlled clinical study.
机构信息
Department for Trauma, Orthopaedic and Foot Surgery, Coburg Clinical Center, Coburg, Germany.
出版信息
Foot Ankle Surg. 2009;15(4):198-204. doi: 10.1016/j.fas.2009.03.002. Epub 2009 May 1.
BACKGROUND
The purpose of this study was to assess the clinical use, and to analyze the potential clinical benefit of intraoperative pedography (IP) in a sufficient number of cases in comparison with cases treated without IP.
METHODS
Patients (age 18 years and older) which sustained an arthrodesis and/or correction of the foot and ankle were included.
RESULTS
One hundred cases were included (ankle correction arthrodesis, n=12; subtalar joint correction arthrodesis, n=14; arthrodesis without correction midfoot, n=15; correction arthrodesis midfoot, n=26; correction forefoot, n=33). Fifty-two patients were randomized for the use of IP. In 24 of the 52 patients (46%), the correction was modified after IP during the same operation.
CONCLUSIONS
In 46% of the cases a modification of the surgical correction was made after IP in the same surgical procedure. Whether IP improve the plantar force distribution of the foot and the mid- or long-term clinical outcome has to be critically analyzed when longer follow-up is completed.
背景
本研究旨在评估术中足底压力测量（IP）的临床应用，并在足够数量的病例中分析其潜在的临床获益，与未行 IP 治疗的病例进行比较。
方法
纳入年龄在 18 岁及以上、接受踝关节和/或足部矫正融合术的患者。
结果
共纳入 100 例患者（踝关节矫正融合术，n=12；距下关节矫正融合术，n=14；无矫正的中足部融合术，n=15；矫正融合术的中足部，n=26；矫正前足部，n=33）。52 例患者随机分组使用 IP。在这 52 例患者中，有 24 例（46%）在 IP 后术中对矫正进行了修改。
结论
在 46%的病例中，IP 后在同一手术过程中对手术矫正进行了修改。当完成更长时间的随访后，需要对 IP 是否改善足部的足底压力分布以及中期或长期的临床结果进行批判性分析。
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