背景:在中足关节炎的治疗中,常见的是关节固定术,创伤,或畸形。这项研究的目的是收集汇总数据(人口统计,外科,和围手术期结局)先前使用BME压缩钉进行TMT融合的患者。
方法:66例患者接受TMT融合与BME压缩钉。结果包括人口统计,手术信息,退伍军人兰德VR-12健康调查,脚和脚踝能力测量(FAAM),视觉模拟量表(VAS),修改-脚部功能索引(FFI-R)踝关节骨关节炎量表(AOS),患者满意度调查评分,射线成像融合率,减轻疼痛的程度,和并发症。分析了66例患者(68英尺)(59例女性),平均年龄为64岁(范围,18-83).平均最新随访为35.9(范围,6-56.6个月)。
结果:平均手术时间为38.1±14.3分钟(范围,11-75).除了VR-12精神和身体评分外,从术前到最新随访,所有结果均显着改善(P<.001)。通过X光片确定的平均融合时间为8.4周(范围,6.1-46.1周)。未见伤口并发症。后续手术的适应症(26.5%,18/68英尺)在这项当前研究中包括疼痛(n=14),断裂的订书钉,和不连(n=3)。
结论:本研究的融合率,89.7%,与文献中报道的值相似。在最新的随访中,患者满意度得分为81.9,与患者对其他融合方法的满意度一致。
方法:四级,回顾性病例系列。
BACKGROUND: Tarsometatarsal (TMT) arthrodesis is commonly performed in the management of midfoot arthritis, trauma, or deformity. The purpose of this study was to collect aggregate data (demographic, surgical, and perioperative outcomes) on patients who previously had a TMT fusion with BME compression staples.
METHODS: Sixty-six patients underwent TMT fusion with BME compression staples. Outcomes included demographics, surgical information, the Veterans Rand VR-12 Health Survey, Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), Revised-Foot Function Index (FFI-R), Ankle Osteoarthritis Scale (AOS), patient satisfaction survey scores, radiographic fusion rate, level of pain reduction, and complications. Sixty-six patients (68 feet) were analyzed (59 females) with an average age of 64 years (range, 18-83). The mean latest follow-up was 35.9 (range, 6-56.6 months).
RESULTS: The average surgical time was 38.1±14.3 minutes (range, 11-75). All outcomes improved significantly (P < .001) from preoperative to latest follow-up except for the VR-12 Mental and Physical score. The average time to fusion determined by radiographs was 8.4 weeks (range, 6.1-46.1 weeks). Wound complications were not seen. Indications for subsequent surgeries (26.5%, 18/68 feet) in this current study included pain (n = 14), broken staples, and nonunion (n = 3).
CONCLUSIONS: The fusion rate in this study, 89.7%, was similar to values reported in the literature. The patient satisfaction score of 81.9 at latest follow-up is consistent with patient satisfaction for other methods of fusion.
METHODS: Level IV, retrospective case series.