踝关节融合术后结局的比较研究表明，由普通骨科医生实施手术的病例并发症发生率更高。
Comparative study of outcomes after ankle arthrodesis shows higher complication rates in cases operated upon by general orthopaedic surgeons.
作者信息
Sabine Krenn, Sascha Albers, Peter Bock, Clemens Mansfield, Michel Chraim, Hans-Joerg Trnka
机构信息
1st Department - Sports Clinic, Orthopaedic Hospital Speising, Vienna, Austria.
Orthopaedic Hospital Speising Vienna, Speisingerstraße 109, 1130, Vienna, Austria.
出版信息
Int Orthop. 2017 Jun;41(6):1163-1168. doi: 10.1007/s00264-017-3459-5. Epub 2017 Apr 18.
INTRODUCTION
A functional assessment of 38 patients after ankle arthrodesis for the evaluation of the necessity of surgeons-specialisation was carried out by means of clinical evaluation and gait analysis after an average follow up of 30 months.
METHODS
Scores were used to grade ankle function. Gate analysis was examined to determine the effect of arthrodesis on the ankle in relation to the surgeons' experience. Under conditions of normal daily living, we found significant differences in life quality between patients operated upon by experts in orthopaedic foot and ankle surgery (group A) and patients operated by general orthopaedic surgeons (group B).
RESULTS
All patients in group A had orthograde stance. Wrong screw positioning and a failed neutral tibio-talar position were the main problems in group B. Due to this, the re-operation rate was 10%.
CONCLUSION
Our findings may have implications for surgical training programs and for regionalisation of complex surgical procedures.
引言
在平均随访30个月后，通过临床评估和步态分析，对38例踝关节融合术后患者进行了功能评估，以评估外科医生专业化的必要性。
方法
使用评分对踝关节功能进行分级。通过步态分析来确定踝关节融合术对外科医生经验的影响。在正常日常生活条件下，我们发现接受足踝外科专家手术的患者（A组）与接受普通骨科医生手术的患者（B组）在生活质量上存在显著差异。
结果
A组所有患者均有正常步态。B组的主要问题是螺钉定位错误和胫距中立位失败。因此，再手术率为10%。
结论
我们的研究结果可能对外科培训项目以及复杂手术的区域化有影响。
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