並列タイトル等距骨壊死に対するアルミナセラミック性人工距骨置換術のSAFE-Qを用いた臨床成績
一般注記type:Thesis
Background: The purpose of this retrospective review was to evaluate the clinical outcomesof patients who underwent total talar replacement for talar necrosis using the SAFE-Q score, which was hypothesized to improve postoperatively. Methods: The study included 24 ankles of 22 patients who underwent total talar replacement from 2012 to 2018 and were evaluated using SAFE-Q preoperatively and postoperatively. Statistical analysis was performed using the mean values of the SAFE-Q and JSSF scale scores, and the range of ankle motion was compared before and 3 years after the surgery using the Wilcoxon signed-rank test. Results: The SAFE-Q scores improved postoperatively in the all the subcategories. “Pain and Pain-Related” changed from a mean value of 42.2±23.9 points preoperatively to a mean value of 84.6±12.6 points postoperatively (p<.01); “Physical Functioning and Daily Living” changed from 36.3±25.2 points to 73.4±20.5 points (p<.01); “Social Functioning” changed from 34.1±34.8 points to 81.0±25.3 points (p<.01); “Shoe-Related” changed from 41.3±28.9 points to 75.4±22.3 points (p<.01); “General Health and Well-Being” changed from 36.7±32.1 to 76.9±29.3 points (p<.01). Conclusion: Twenty-four osteonecrotic tali of 22 patients treated with alumina ceramic total talar replacement achieved good clinical results, as evaluated using the JSSF ankle/hindfoot score and SAFE-Q. Alumina ceramic total talar replacement is the mainstream treatment for talar osteonecrosis.
博士（医学）・甲第856号・令和4年12月22日
identifier:Journal of Nara Medical Association Vol.73 No.4,5,6 p.55-63 (2022.11)
identifier:13450069
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4085
identifier:Journal of Nara Medical Association, 73(4,5,6): 55-63
コレクション（個別）国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
受理日（W3CDTF）2023-03-03T17:22:18+09:00
連携機関・データベース国立国会図書館 : 国立国会図書館デジタルコレクション