[1]戴鹏,黄晖,刘沛,等.人工关节置换术和关节融合术治疗晚期僵硬的中远期疗效及对足底压力的影响[J].中国中医骨伤科杂志,2022,30(10):43-47.
　DAI Peng,HUANG Hui,LIU Pei,et al.Medium and Long-Term Efficacy of Artificial Joint Replacement and Arthrodesis on the Treatment of Advanced Thumb Stiffness and the Efficacy of Plantar Pressure[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(10):43-47.
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人工关节置换术和关节融合术治疗晚期僵硬的中远期疗效及对足底压力的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年10期
页码:
43-47
栏目:
临床研究
出版日期:
2022-10-15

文章信息/Info

Title:
Medium and Long-Term Efficacy of Artificial Joint Replacement and Arthrodesis on the Treatment of Advanced Thumb Stiffness and the Efficacy of Plantar Pressure
文章编号:
1005-0205(2022)10-0043-05
作者:
戴鹏1; 黄晖1; 刘沛1; 刘飞1; 肖军1; 赵宏伟2
1三峡大学第三临床医学院骨科(湖北 宜昌,443002)
2三峡大学第三临床医学院影像科
Author(s):
DAI Peng1; HUANG Hui1; LIU Pei1; LIU Fei1; XIAO Jun1; ZHAO Hongwei2
1Orthopedics Department,The Third Clinical Medical College of Three Gorges University,Yichang 443002,Hubei China;
2Imaging Department,The Third Clinical Medical College of Three Gorges University,Yichang 443002,Hubei China.
关键词:
斯旺森人工关节置换术;  关节融合术;  僵硬;  足底压力
Keywords:
Swanson artificial joint replacement procedure;  joint fusion;  bunions stiff;  bottom pressure
分类号:
R681.8
文献标志码:
A
摘要:
目的:比较Swanson(斯旺森)人工关节置换术和关节融合术治疗晚期僵硬的中远期疗效及对足底压力的影响。方法:前瞻性选取2015年1月至2019年1月收治的晚期僵硬患者86例,将其随机分为对照组和观察组(各43例)。其中对照组采用关节融合术,观察组采用Swanson人工关节置换术,记录两组的手术指标(切口干燥时间、愈合时间、切口并发症发生率),并比较两组术前、术后1个月、1年、2年、3年的美国矫形外科足踝协会(AOFAS)前足评分、疼痛视觉模拟量表(VAS)评分、健康调查简表(SF-36)评分、双侧单支撑期足底压力峰值(BW)。结果:观察组切口干燥时间、愈合时间均短于对照组,差异有统计学意义(P<0.05); 两组并发症发生率均较低,差异无统计学意义(P>0.05)。术前两组AOFAS、VAS及SF-36评分差异无统计学意义(P>0.05),术后1个月、1年、2年、3年,两组AOFAS及SF-36评分升高,VAS评分下降,且观察组AOFAS及SF-36评分高于对照组、VAS评分低于对照组,差异有统计学意义(P<0.05)。术前两组的双侧BW及足底压力不对称比差异均无统计学意义(P>0.05),术后两组的患足侧单支撑期足底压力峰值增大,足底压力不对称比减小,且观察组的患足侧单支撑期足底压力峰值大于对照组,足底压力不对称比小于对照组,差异有统计学意义(P<0.05)。结论:Swanson人工关节置换术治疗晚期僵硬的中远期效果优于关节融合术,且能够改善患者足底压力,值得临床推广应用。
Abstract:
Objective:To compare the medium and long-term outcomes of Swanson joint replacement and arthrodesis on the treatment of advanced thumb stiffness and their efficacy on plantar pressure.Methods:A total of 86 patients with advanced thumb stiffness who were admitted from January 2015 to January 2019 were prospectively selected and randomly divided into the control group and the observation group with 43 cases in each group.The control group used joint fusion,and the observation group used Swanson joint replacement.Surgical indicators(incision drying time,healing time,incidence of incision complications)were recorded,and the American Orthopaedic Foot and Ankle Association(AOFAS)anterior foot scores,visual analogue scale(VAS)scores,health survey summary(SF-36)scores and peak plantar pressure(BW)in the two groups were compared at 1 month,1 year,2 years,3 years after operation.Results:The incision drying time and healing time in observation group were lower than the control group,with statistically significant differences(P<0.05).There were low complication rates in both groups,and had no statistically significant difference(P>0.05).The AOFAS,VAS,SF-36 scores were not statistically significantly different(P>0.05).AOFAS and SF-36 scores were increased,and VAS scores was decreased at 1 month,1 year,2 years,3 years after operation.The AOFAS and SF-36 scores were higher and VAS scores was lower in observation group than that of control group,and it had statistically significant(P<0.05).Before surgery,the difference in bilateral BW and plantar pressure asymmetry ratio was not statistically significant(P>0.05); the peak plantar pressure of the affected foot in two groups increased; the plantar pressure asymmetry ratio decreased.In addition,the peak plantar pressure of the affected foot in the observation group was higher than that of the control group,and the asymmetric ratio of plantar pressure was lower than that of the control group,with statistical significance(P<0.05).Conclusion:Swanson artificial joint replacement on the treatment of advanced bunion stiffness in the middle and advanced efficacy is better than the joint fusion surgery,and can effectively improve the foot floor pressure of patients,which is worth for the clinical application and promotion.

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备注/Memo

备注/Memo:
基金项目:2019年湖北省教育厅科学研究计划项目(B2019019)
更新日期/Last Update: 2022-10-10