经内镜跟骨下滑囊切除术治疗跟后滑囊炎患者的患者满意度高，长期功能结局良好。

High patient satisfaction and good long-term functional outcome after endoscopic calcaneoplasty in patients with retrocalcaneal bursitis.

机构信息

Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2021 May;29(5):1494-1501. doi: 10.1007/s00167-020-06167-2. Epub 2020 Jul 25.

DOI:10.1007/s00167-020-06167-2

PMID:32712686

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8038992/

Abstract

PURPOSE

The primary objective of this study was to determine the degree of patient satisfaction at a minimum of 5 years of follow-up after endoscopic calcaneoplasty. The secondary objectives were to assess functional outcome measures, pain scores, analysis of bone removal, reformation of exostosis at follow-up and correlation of the size of the exostosis and recurrent or persisting complaints.

METHODS

This study evaluated patients who underwent endoscopic calcaneoplasty, between January 1st 2000 and December 31st 2010, for the diagnosis of retrocalcaneal bursitis. The evaluation consisted of PROMs (patient-reported outcome measures), a questionnaire and a visit to the outpatient clinic for physical examination and a standard lateral weight-bearing radiograph of the ankle. Patient satisfaction, functional outcomes and pain scores were measured by use of a numeric rating scale (NRS). Size of the posterosuperior calcaneal exostosis was measured on a standard lateral weight-bearing radiograph using parallel pitch lines (PPL) and the Fowler-Philip angle (PFA).

RESULTS

The response rate was 28 out of 55 (51%) and the median time to follow-up was 101(IQR 88.5-131.8) months. The median satisfaction score for treatment results was 8.5 out of 10 (IQR 6-10). FAOS symptoms 84.5 (IQR 58.0-96.4), FAOS pain 90.3 (IQR 45.1-100.0), FAOS ADL 94.9 (IQR 58.1-100.0), FAOS sport 90.0 (IQR 36.3-100.0) and FAOS QOL 71.9 (IQR 37.5-93.8) and median AOFAS was 100 (IQR 89-100). The median PLL difference between before operation and 2 weeks after the operation was - 4 mm (IQR-6 and -1) and the median PLL difference between 2 weeks after the operation and at follow-up was 1 mm (0-2). The median PFA was 65 (63-69) at baseline, 66.5 (60.8-70.3) 2 weeks after the operation and 64 (60.8-65.3) at follow-up.

CONCLUSION

Despite the limited response rate, this study shows high patient satisfaction and good long-term functional outcome in patients affected by retrocalcaneal bursitis who underwent endoscopic calcaneoplasty.

LEVEL OF EVIDENCE

Level IV.

摘要

目的

本研究的主要目的是在跟骨内镜成形术至少 5 年的随访中确定患者的满意度程度。次要目的是评估功能结果测量、疼痛评分、骨切除分析、随访时外生骨赘的再形成以及外生骨赘的大小与复发或持续存在的投诉之间的相关性。

方法

本研究评估了 2000 年 1 月 1 日至 2010 年 12 月 31 日期间因跟后囊炎接受内镜跟骨成形术的患者。评估包括患者报告的结果测量（PROMs）、问卷调查以及门诊就诊进行体格检查和标准侧位负重踝关节 X 线检查。患者满意度、功能结果和疼痛评分通过数字评分量表（NRS）进行测量。使用平行螺距线（PPL）和福勒-菲利普角（PFA）在标准侧位负重 X 线片上测量后上跟骨外生骨赘的大小。

结果

28 名（51%）患者做出了回应，中位随访时间为 101（IQR 88.5-131.8）个月。治疗结果的满意度中位数评分为 10 分制的 8.5 分（IQR 6-10）。FAOS 症状 84.5（IQR 58.0-96.4），FAOS 疼痛 90.3（IQR 45.1-100.0），FAOS ADL 94.9（IQR 58.1-100.0），FAOS 运动 90.0（IQR 36.3-100.0），FAOS QOL 71.9（IQR 37.5-93.8），AOFAS 中位数为 100（IQR 89-100）。手术前和手术后 2 周的 PLL 差值中位数为-4mm（IQR-6 和-1），手术后 2 周和随访时的 PLL 差值中位数为 1mm（0-2）。基线时 PFA 中位数为 65（63-69），手术后 2 周时为 66.5（60.8-70.3），随访时为 64（60.8-65.3）。