治疗慢性足底筋膜炎的创新方法:脉冲射频消融与手术干预的比较。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-10-01 Epub Date: 2024-07-31 DOI:10.1007/s00264-024-06261-x
Celal Armağan, Zekeriya Okan Karaduman, Mehmet Arıcan, Yalcın Turhan, İlyas Kaban, Veysel Uludağ
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引用次数: 0

摘要

目的:本研究旨在比较脉冲射频消融术(PRFA)和手术治疗慢性足底筋膜炎的效果,重点关注疼痛缓解和功能结果:这项前瞻性研究涉及 30 名保守治疗 12 个月无效的慢性足底筋膜炎患者。患者被分为 PRFA 组(17 人)和手术组(13 人)。术前、术后3个月、6个月和12个月使用VAS、AOFAS、FFI和RMS评分进行临床评估。放射学测量评估了足部结构的影响:结果:PRFA 和手术都能明显减轻疼痛,改善功能。PRFA的手术时间更短,恢复活动更快(p 结论:PRFA是一种微创手术:与手术相比,PRFA 是一种微创、有效的慢性足底筋膜炎治疗方法,恢复更快,并发症发生率更低。两种疗法的长期疗效相当。还需要进一步的研究来证实这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Innovative approaches in the treatment of chronic plantar fasciitis: comparison of pulsed radiofrequency ablation and surgical intervention.

Innovative approaches in the treatment of chronic plantar fasciitis: comparison of pulsed radiofrequency ablation and surgical intervention.

Purpose: This study aimed to compare the effectiveness of Pulsed Radiofrequency Ablation (PRFA) and surgery for treating chronic plantar fasciitis, focusing on pain relief and functional outcomes.

Methods: A prospective study involved 30 patients with chronic plantar fasciitis unresponsive to 12 months of conservative treatment. Patients were divided into PRFA (n = 17) and surgical (n = 13) groups. Clinical evaluations were conducted preoperatively and at three, six and 12 months postoperatively using VAS, AOFAS, FFI, and RMS scores. Radiological measurements assessed foot structure impact.

Results: Both PRFA and surgery significantly reduced pain and improved function. PRFA had a shorter operative time and quicker return to activities (p < 0.001). At 3 months, PRFA showed superior VAS, FFI, and RMS scores (p < 0.05). Long-term outcomes were similar. No major complications occurred, but minor complications were higher in the surgical group (p < 0.01).

Conclusions: PRFA is a minimally invasive, effective treatment for chronic plantar fasciitis with quicker recovery and lower complication rates compared to surgery. Both treatments offer comparable long-term benefits. Further studies are needed to confirm these findings.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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