外控电动可伸缩髓内钉矫正畸形和延长肢体:2种不同钉的比较。

IF 1.1 4区 医学 Q3 ORTHOPEDICS
İsam Khalil Abdelrahman Safi, Farid Samadov, Muharrem Kanar, İsmail Tüter, Hacı Mustafa Özdemir
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引用次数: 0

摘要

目的:本研究的目的是评估和比较因下肢畸形和长度差异而使用FITBONE或PRECISE钉治疗的患者的临床、放射学和功能结果。方法:这项回顾性队列研究包括41名下肢长度不一致和畸形的患者,他们在2010年至2020年间接受了FITBONE(F组)或PRECISE(P组)指甲的肢体延长手术。F组(20例)平均术后随访15.95±4.75个月,P组(21例)平均随访20.48±7.57个月。术前和治疗结束时,在x光片上测量下肢机械和解剖轴。还计算了固结和牵张指数以评估骨愈合。下肢功能量表测试用于评估功能结果和生活质量。结果:两种治疗方法均未引起机械轴和股骨远端角的偏差(P>0.05)。两组间的巩固和牵张指数无统计学差异(P>0.05),F组3例和P组4例出现术后并发症。两组之间的下肢功能量表评分没有显著差异(P=.425)。结论:本研究表明,使用FITBONE和PRECISE指甲治疗可改善身体和情绪功能。两种指甲的放射学结果相似,并发症发生率高,患者依从性高,美容效果好。证据级别:三级,治疗性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails.

Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails.

Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails.

Objective: The aim of this study was to assess and compare the clinical, radiological, and functional results of patients treated with FITBONE or PRECICE nails due to deformity and length discrepancy in their lower extremities.

Methods: This retrospective cohort study included 41 patients with length discrepancy and deformity in their lower extremities, who underwent limb lengthening surgery with either FITBONE (group F) or PRECICE (group P) nails between 2010 and 2020. The mean postoperative follow-up period was 15.95 ± 4.75 months in group F (20 patients) and 20.48 ± 7.57 months in group P (21 patients). Lower extremity mechanical and anatomical axes were measured on x-rays preoperatively and at the end of treatment. Consolidation and distraction indexes were also calculated to assess bone healing. Lower Extremity Functional Scale test was used to evaluate functional outcomes and quality of life.

Results: Neither of the treatment methods caused deviations in the mechanical axes and femoral distal angles (P > .05). No statistically significant difference in consolidation and distraction indexes was found between the groups (P > .05). Postoperative complications were seen in 3 of the patients in group F and 4 of the patients from group P. There was no significant difference in Lower Extremity Functional Scale scores between groups (P = .425).

Conclusion: This study has demonstrated that treatment with both the FITBONE and PRECICE nails resulted in improved physical and emotional functional outcomes. Both nails had similar radiographic results, complication rates, high patient compliance, and good cosmesis.

Level of evidence: Level III, Therapeutic Study.

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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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