瑞典踝关节注册中心16例患者的全踝关节置换术和对侧踝关节融合术：自我报告的功能和满意度。
Total ankle replacement and contralateral ankle arthrodesis in 16 patients from the Swedish Ankle Registry: Self-reported function and satisfaction.
作者信息
Henricson Anders, Fredriksson Martin, Carlsson Åke
机构信息
Department of Orthopedics and Center of Clinical Research, Falun Central Hospital, Falun, Sweden.
Department of Orthopedics, Falun Central Hospital, Sweden.
出版信息
Foot Ankle Surg. 2016 Mar;22(1):32-4. doi: 10.1016/j.fas.2015.04.007. Epub 2015 May 15.
BACKGROUND
Both total ankle replacement (TAR) and ankle arthrodesis do show some problems in long-term studies. To choose either of these surgical options is a delicate task. There are no randomized studies reported in the literature and no previous studies in which patients constitute the own controls.
METHODS
Patients with a TAR and a contralateral ankle arthrodesis were identified in the Swedish Ankle Register. A self-reported foot and ankle specific questionnaire (SEFAS) was sent to these patients who also were asked to report their grade of satisfaction from 1 to 5.
RESULTS
The median SEFAS score was 32 (16-44) for the prostheses and 27 (14-47) for the arthrodeses. The median satisfaction score was 2 (1-4) for the prostheses and 2 (1-5) for the arthrodeses. There were no statistically significant difference between the prosthetic side and the fused side regarding these scores.
CONCLUSION
Patients who had undergone ankle arthrodesis on one side and had the contralateral ankle replaced, were equally satisfied with both procedures.
背景
在长期研究中，全踝关节置换术（TAR）和踝关节融合术均显示出一些问题。选择这两种手术方式中的任何一种都是一项棘手的任务。文献中没有随机对照研究报告，也没有以前的研究让患者自身作为对照。
方法
在瑞典踝关节登记处识别出接受了全踝关节置换术且对侧踝关节进行了融合术的患者。向这些患者发送了一份自我报告的足踝特异性问卷（SEFAS），并要求他们从1到5报告自己的满意度等级。
结果
假体组的SEFAS中位数为32（16 - 44），融合术组为27（14 - 47）。假体组的满意度中位数为2（范围1 - 4），融合术组为2（范围1 - 5）。在这些评分方面，假体侧和融合侧之间没有统计学上的显著差异。
结论
一侧接受了踝关节融合术而对侧踝关节进行了置换的患者，对这两种手术的满意度相同。
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