拉皮德斯手术的当代方法与进展。
Contemporary approaches and advancements to the Lapidus procedure.
作者信息
Baravarian Bob, Ben-Ad Rotem
机构信息
Podiatric Foot and Ankle Surgery, Santa Monica UCLA Medical Center and Orthopedic Hospital, UCLA School of Medicine, Los Angeles, CA, USA; University Foot and Ankle Institute, Los Angeles, CA, USA.
University Foot and Ankle Institute, Los Angeles, CA, USA.
出版信息
Clin Podiatr Med Surg. 2014 Apr;31(2):299-308. doi: 10.1016/j.cpm.2014.01.001.
The Lapidus procedure as evolved over the last 50 years. What originally was a difficult procedure with poor outcomes has changed to a procedure that allows for ideal realignment of the deformity at its source, improved foot alignment, and minimal to no need for further surgery. The authors now use a weight bearing plate which has improved overall patient care, with a minimized risk of nonunions, and more rapid return to early weight bearing and range of motion. This method has opened up the procedure to more patients, decreased the recovery time, and allowed for early physical therapy, resulting in outstanding patient outcomes.
拉皮德斯手术在过去50年中不断发展。最初这是一种难度大且效果不佳的手术，如今已转变为一种能够从根源上对畸形进行理想复位、改善足部对线，并且基本无需或完全无需进一步手术的手术。作者们现在使用一种负重钢板，这改善了整体患者护理，降低了骨不连风险，并能更快地恢复早期负重和活动范围。这种方法使更多患者能够接受该手术，缩短了恢复时间，并允许早期进行物理治疗，从而带来了出色的患者治疗效果。
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