■后足融合术通常用于治疗终末期关节炎或畸形。这些疾病的手术治疗包括距骨关节(单)关节固定术,距骨和距骨下(双)关节固定术,或者距骨,距下,跟眼(三重)关节固定术。这项研究评估了并发症的发生率,翻修手术率,和硬件去除率,双,或者三重关节固定术。
■对单发患者进行了回顾性审查(当前程序术语[CPT]代码28740),双(CPT28725和28740),或三重(CPT28715)关节固定术治疗后足关节炎/畸形(国际疾病分类,第九次修订[ICD-9]代码:734,国际疾病分类,第十次修订[ICD-10]代码:M76821,M76822和M76829),从2005年到2022年,使用南卡罗来纳州税收和财政事务数据库。收集的数据包括人口统计,合并症,程序数据,和主要手术后1年内的术后结局。学生t检验,卡方检验,在数据分析过程中使用了多变量逻辑回归分析。
■共确认了433名患者,248例接受单关节固定术,67例接受双关节固定术,118例接受三重关节固定术。单,双,和三重关节固定术的并发症发生率,硬件移除,修正手术,或控制混杂变量时的30天再入院。然而,Charlson合并症指数(CCI)的降低预示着翻修手术率的增加(OR=0.46,95%CI0.22-0.85,P=.02).
■我们发现并发症的发生率没有差异,硬件移除,或那些接受单人手术的修正手术,双,或者三重关节固定术。令人惊讶的是,我们发现较低的Charlson合并症指数,表明更健康的患者与更高的翻修手术率有显著的关系.进一步的研究,包括手术的影像学适应症或整体健康状况对翻修手术率的影响,可能会进一步阐明这种关系的其他组成部分。
■三级,队列研究。
UNASSIGNED: Hindfoot fusion procedures are common for the treatment of end-stage arthritis or deformity. Surgical treatments for these conditions include talonavicular joint (single) arthrodesis, talonavicular and subtalar (double) arthrodesis, or talonavicular, subtalar, and calcaneocuboid (triple) arthrodesis. This study evaluated the complication rate, revision surgery rate, and hardware removal rate for those treated with either single, double, or triple arthrodesis.
UNASSIGNED: A retrospective review was conducted for patients who underwent single (Current Procedural Terminology [CPT] code 28740), double (CPT 28725 and 28740), or triple (CPT 28715) arthrodesis to treat hindfoot arthritis/deformity (International Classification of Diseases, Ninth Revision [ICD-9] code: 734, International Classification of Diseases, Tenth Revision [ICD-10] codes: M76821, M76822, and M76829) from 2005 to 2022 using the South Carolina Revenue and Fiscal Affairs databank. Data collected included demographics, comorbidities, procedure data, and postoperative outcomes within 1 year of principal surgery. Student t test, chi-squared test, and multivariable logistic regression analysis were utilized during data analysis.
UNASSIGNED: A total of 433 patients were identified, with 248 undergoing single arthrodesis, 67 undergoing double arthrodesis, and 118 undergoing triple arthrodesis. There was no significant difference between single, double, and triple arthrodesis in the rate of complications, hardware removals, revision surgeries, or 30-day readmission when controlling for confounding variables. However, a decrease in Charlson Comorbidity Index (CCI) was found to be predictive of an increase in the revision surgery rate (OR = 0.46, 95% CI 0.22-0.85, P = .02).
UNASSIGNED: We found no difference in the rate of complications, hardware removals, or revision surgeries in those undergoing single, double, or triple arthrodesis. Surprisingly we found that a lower Charlson Comorbidity Index, indicating a healthier patient had a significant relationship with a higher rate of revision surgery. Further study including radiographic indications for surgery or the impact of overall health status on revision surgery rates may further elucidate the other components of this relationship.
UNASSIGNED: Level III, cohort study.