第一跖趾关节硅橡胶双柱铰链假体的 19 年随访结果。
Nineteen-year follow-up of the silastic double stemmed hinge prosthesis of the first metatarsophalangeal joint.
机构信息
Center of Orthopaedic Research Alkmaar, Wilhelminalaan 12, 1815 JD Alkmaar, The Netherlands.
出版信息
Foot Ankle Surg. 2013 Mar;19(1):27-30. doi: 10.1016/j.fas.2012.08.001. Epub 2012 Sep 16.
BACKGROUND
The purpose of this retrospective study is to evaluate patient-related outcome and reoperation rate of the Swanson prosthesis in patients with and without grommets.
METHODS
Between 1981 and 1999, 98 Swanson MTP-1 prostheses were implanted in 84 patients (14 bilateral). The average follow-up was 19 years. Patients were asked to fill in the Foot and Ankle Outcome Score (FAOS) questionnaire and were asked if they had undergone reoperations. In addition, medical records where searched.
RESULTS
36 patients (mean age 71 years) returned the questionnaire. All median FAOS sub scores were 100. There were no differences in FAOS sub scores between patients who had a prosthesis with or without grommets, except for FAOS "activities in daily living" which was lower for patients without grommets. Reoperation rate was 4%.
CONCLUSION
The Swanson silastic double stemmed hinge prosthesis showed good to excellent patient-related outcome and reoperation rate at long-term follow-up.
背景
本回顾性研究旨在评估带与不带克氏针的 Swanson 假体在患者中的患者相关结局和再次手术率。
方法
1981 年至 1999 年间，84 例患者（14 例双侧）共植入 98 个 Swanson MTP-1 假体。平均随访 19 年。患者填写足踝结局评分（FAOS）问卷，并询问他们是否接受过再次手术。此外，还查阅了病历。
结果
36 名患者（平均年龄 71 岁）返回了问卷。所有 FAOS 亚评分的中位数均为 100。带或不带克氏针的假体患者的 FAOS 亚评分没有差异，除了不带克氏针的患者 FAOS“日常生活活动”评分较低。再次手术率为 4%。
结论
Swanson 硅橡胶双柄铰链假体在长期随访中显示出良好到极好的患者相关结局和再次手术率。
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