踝关节松解术后的临床及影像学中长期疗效
Clinical and Radiological Mid-to-Long-term Outcomes Following Ankle Arthrolysis.
作者信息
Rohlfing Freya-Isabelle, Wiebking Ulrich, O'Loughlin Padhraig F, Krettek Christian, Gaulke Ralph
机构信息
Section of 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. 2019 Mar-Apr;33(2):535-542. doi: 10.21873/invivo.11507.
BACKGROUND
The aim of this study was to evaluate the clinical and radiographic success of arthrolysis surgery and the risk of progression of osteoarthrosis at the ankle joint.
MATERIALS AND METHODS
In a retrospective clinical and radiological study, with a minimum follow-up of 24 months, the pain level and quality of living were evaluated.
RESULTS
Following arthrolysis of the ankle joint, 16% of patients required ankle fusion within 2 years. Women had a higher quality-of-life in terms of Foot Function Index. Younger patients scored higher in both quality-of-life and function scores. Radiographic osteoarthrotic changes and the specific follow-up interval did not correlate with clinical outcome.
CONCLUSION
Fewer than 20% of patients required ankle fusion. Female gender and young age had a positive impact. Preoperative radiography and the postsurgical interval are poorly predictive for the progression of osteoarthrosis.
背景
本研究旨在评估关节松解术的临床和影像学成功率以及踝关节骨关节炎进展的风险。
材料与方法
在一项回顾性临床和放射学研究中，进行了至少24个月的随访，评估了疼痛程度和生活质量。
结果
踝关节松解术后，16%的患者在2年内需要进行踝关节融合术。就足部功能指数而言，女性的生活质量更高。年轻患者在生活质量和功能评分方面得分更高。影像学骨关节炎改变和特定的随访间隔与临床结果无关。
结论
不到20%的患者需要进行踝关节融合术。女性和年轻患者有积极影响。术前放射学检查和术后间隔对骨关节炎进展的预测性较差。
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