MIS Akin长度和角度校正变化的尸体评价。

IF 1.3 4区 医学 Q2 Medicine
Steven R Cooperman, Jaeyoon Kim, Orlando Martinez, Lauren M Christie, Roberto A Brandão
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引用次数: 0

摘要

背景:拇外翻或拇外翻畸形是一种常见的前足疾病,有许多手术矫正技术。微创手术(MIS)在足部和踝关节界越来越受欢迎;然而,关于MIS Akin截骨术可达到的矫正程度的数据有限。目的:比较在尸体模型中使用两种尺寸(2.0和2.9 mm)的Akin斜向和横向截骨术所产生的角度和长度变化。伦理:作者声明,已尽一切努力遵守与在解剖研究中使用人类尸体捐赠者有关的所有当地和国际伦理准则和法律。作为一项尸体研究,不需要IRB审查。研究设计:IV级尸体研究方法:使用20个膝盖以上解冻的尸体四肢(10对双侧)。对配对的患者进行斜向或横向截骨,左肢采用2.0 mm的毛刺,右肢采用2.9 mm的毛刺。测量近端指骨纵轴的角度矫正和内侧皮质骨缩短。结果:2.9 mm毛刺比2.0 mm毛刺在所有组中产生更大的角度矫正和骨缩短(p = 0.002)。对于斜向截骨术,2.9 mm毛刺的平均矫正度为9.40°,而2.9 mm毛刺的平均矫正度为4.43°(p = 0.037)。对于横截骨,2.9 mm毛刺的角度矫正为14.87°,而2.9 mm毛刺的角度矫正为6.64°(p = 0.037)。结论:毛刺大小和截骨方向显著影响MIS Akin截骨术的矫正程度。这些发现支持术前计划和慎重选择毛刺来优化手术结果。证据等级:四级尸体研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cadaveric evaluation of MIS akin variation on length and angular correction.

Background: Hallux abductovalgus, or bunion deformity, is a common forefoot condition with numerous described techniques for surgical correction. Minimally invasive surgery (MIS) is gaining popularity in the foot and ankle community; however, limited data exists regarding the degree of correction achievable with MIS Akin osteotomies.

Purpose: To compare the angular and length changes produced by oblique and transverse Akin osteotomies using two burr sizes (2.0 and 2.9 mm) in a cadaveric model.

Ethics: The authors state that every effort was made to follow all local and international ethical guidelines and laws that pertain to the use of human cadaveric donors in anatomical research. As a cadaveric study, no IRB review was required.

Study design: Level IV cadaveric study METHODS: Twenty thawed above-knee cadaveric limbs (ten bilateral pairs) were used. Matched pairs underwent either oblique or transverse osteotomies, with the left limbs treated using a 2.0 mm burr and the right limbs with a 2.9 mm burr. Angular correction of the longitudinal axis of the proximal phalanx and medial cortical bone shortening were measured.

Results: The 2.9 mm burr produced significantly greater angular correction and bone shortening than the 2.0 mm burr across all groups (p = 0.002). For oblique osteotomies, the 2.9 mm burr achieved a mean correction of 9.40° versus 4.43° with the 2.9 mm burr (p = 0.037). For transverse osteotomies, angular correction was 14.87° with the 2.9 mm burr compared to 6.64° with the 2.0 mm burr (p = 0.037) CONCLUSION: Burr size and osteotomy orientation significantly affect the degree of correction in MIS Akin osteotomies. These findings support careful preoperative planning and deliberate burr selection to optimize surgical outcomes.

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来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
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