拇外翻手术后的患者报告结局 - 两年随访。
Patient-reported outcome after hallux valgus surgery - a two year follow up.
机构信息
Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital Malmö, Sweden; Department of R&D, Sahlgrenska University Hospital Göteborg, Sweden.
Departments of Orthopedics and Clinical Sciences, Lund University, Skåne University Hospital Malmö, Sweden.
出版信息
Foot Ankle Surg. 2019 Aug;25(4):478-481. doi: 10.1016/j.fas.2018.02.015. Epub 2018 Mar 6.
BACKGROUND
Patients with hallux valgus deformity may require surgery but prospective patient-reported data is scarce.
METHODS
We evaluated 53 patients with a mean age of 55.3years (SD 14.1, 50 women), who underwent surgery due to hallux valgus. They completed the PROMs SEFAS, EQ-5D and SF-36 before and 6, 12 and 24 months after surgery.
RESULTS
All patient-reported outcomes improved at 6, 12 and 24months compared with the preoperative status. The greatest improvement occurred at 6months: SEFAS Δ 10.0 (95% confidence interval 7.8-12.2), EQ-5D Δ 0.22 (0.15-0.29), EQ-VAS Δ 8.4 (4.4-12.4), PF SF-36 Δ 22.0 (14.6-29.3) and BP SF-36 Δ 30.6 (23.1-38.1).
CONCLUSIONS
Hallux valgus surgery considerably reduced pain and improved function already within 6months after surgery. The improvement between 6 and 24months' follow-up was minimal measured with PROMs.
LEVEL OF CLINICAL EVIDENCE
III - prospective observational cohort study.
背景
患有拇外翻畸形的患者可能需要手术，但前瞻性患者报告数据很少。
方法
我们评估了 53 名平均年龄为 55.3 岁（标准差 14.1，50 名女性）的患者，他们因拇外翻接受了手术。他们在手术前、手术后 6、12 和 24 个月完成了 PROMs SEFAS、EQ-5D 和 SF-36。
结果
与术前相比，所有患者报告的结果在术后 6、12 和 24 个月均有所改善。最大的改善发生在术后 6 个月：SEFAS Δ 10.0（95%置信区间 7.8-12.2），EQ-5D Δ 0.22（0.15-0.29），EQ-VAS Δ 8.4（4.4-12.4），PF SF-36 Δ 22.0（14.6-29.3）和 BP SF-36 Δ 30.6（23.1-38.1）。
结论
拇外翻手术后，疼痛明显减轻，术后 6 个月内功能明显改善。使用 PROMs 测量，6 至 24 个月随访之间的改善最小。
临床证据水平
III - 前瞻性观察队列研究。
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