踝关节融合术后的临床及影像学中长期疗效
Clinical and Radiological Mid- to Long-term Outcomes Following Ankle Fusion.
作者信息
Gaedke Ines E, Wiebking Ulrich, O'Loughlin Padhraig F, Krettek Christian, Gaulke Ralph
机构信息
Section Upper Extremity, Foot- and Rheuma Surgery, Trauma Department, Medical School Hannover (MHH), Hannover, Germany.
Trauma Department, Medical School Hannover (MHH), Hannover, Germany.
出版信息
In Vivo. 2018 Nov-Dec;32(6):1463-1471. doi: 10.21873/invivo.11400.
BACKGROUND
The aims of this study were to establish the likelihood of additional surgery after ankle fusion, determine the interval for developing osteoarthrosis in the ipsilateral subtalar or Chopart joints, and evaluate its clinical relevance.
MATERIAL AND METHODS
A retrospective clinical and radiological study with a minimum follow-up of 24 months was performed. Short-Form 36 Heath Survey, Foot Function Index, American Orthopaedic Foot and Ankle Society Score (AOFAS) and a visual analog scale (VAS) were used to evaluate pain level and quality of life in at least 62 adult patients.
RESULTS
A total of 57% of our patients developed osteoarthrosis in at least one of the related joints and 28% of them required additional surgery due to pain. Patients who received workers' compensation had significantly lower AOFAS and higher VAS pain values.
CONCLUSION
More than half of the study cohort developed osteoarthrosis in the related joints after ankle fusion, but fewer than one-third required further joint fusion surgery as a consequence.
背景
本研究的目的是确定踝关节融合术后再次手术的可能性，确定同侧距下关节或Chopart关节发生骨关节炎的时间间隔，并评估其临床相关性。
材料与方法
进行了一项回顾性临床和放射学研究，最短随访时间为24个月。使用简短健康调查问卷36项、足部功能指数、美国矫形足踝协会评分（AOFAS）和视觉模拟量表（VAS）评估了至少62例成年患者的疼痛程度和生活质量。
结果
共有57%的患者在至少一个相关关节发生骨关节炎，其中28%因疼痛需要再次手术。获得工伤赔偿的患者AOFAS评分显著较低，VAS疼痛值较高。
结论
超过一半的研究队列在踝关节融合术后相关关节发生骨关节炎，但因此需要进一步关节融合手术的患者不到三分之一。
Zotero 插件