Quality of life 20 years after arthrodesis of the ankle - A study of adjacent joints
Quality of life 20 years after arthrodesis of the ankle - A study of adjacent joints
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DOI：
10.1302/0301-620x.85b7.13984
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发表时间：
2003-09-01
影响因子：
--
通讯作者：
Chylarecki, C
中科院分区：
文献类型：
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作者：
Fuchs, S;Sandmann, C;Chylarecki, C
胫距融合被认为是终末期踝关节创伤后关节炎的标准治疗方法。我们报告了一项回顾性、客观的长期研究，对 17 名接受 18 处踝关节融合术的患者的生活质量进行了为期 20 多年的研究。我们特别寻找相邻关节骨关节炎的临床和放射学体征之间的相关性。在一系列体检中，根据 Olerud Molander 踝关节 (OMA) 评分授予临床等级。在站立的射线照片上记录了相邻关节任何程度的退行性变化。患者填写了 SF-36 健康调查表。主观上，50% 的患者日常活动没有障碍，44% 的患者从事与受伤时相同的工作。随访时，平均 OMA 评分为 59.4 分，视觉模拟评分为 1.99，放射学评分为 2.7。 SF-36 在身体功能、情绪障碍和身体疼痛方面显示出明显的缺陷。 OMA 和放射学评分之间存在显着相关性 (p = 0.05)，临床评分和 SF-36 评分之间存在显着相关性 (p = 0.01)，但放射学评分和 SF-36 评分之间没有显着相关性。踝关节固定术会导致功能结果缺陷、日常生活活动受限以及相邻关节的放射学变化。临床结果评分与 SF-36 评分密切相关。
Tibiotalar fusion is considered to be the standard treatment for end-stage post-traumatic arthritis of the ankle. We report a retrospective, objective long-term study of the quality of life of 17 patients with 18 arthrodeses of the ankle, over a period of more than 20 years. We looked particularly for correlation between clinical and radiological signs of osteoarthritis in adjoining joints. At serial physical examinations, clinical grades were awarded according to the Olerud Molander Ankle (OMA) score. Any degree of degenerative change in the adjoining joints was recorded on standing radiographs. Patients filled out a SF-36 Health Survey form.Subjectively, 50% of patients were not handicapped in the performance of daily activities and 44% were in the same job as at the time of injury. At follow-up the mean OMA score was 59.4 points, the visual analogue scale was 1.99 and the radiological score was 2.7. The SF-36 for physical function, emotional disturbance and bodily pain revealed significant deficits. There was a significant correlation between the OMA and the radiological score (p = 0.05), and between the clinical and the SF-36 score (p = 0.01), but no significant correlation between the radiological score and the SF-36 score.Arthrodesis of the ankle leads to deficits in the functional outcome, to limitations in the activities of daily living and to radiological changes in the adjoining joints. The clinical outcome score correlates closely with the SF-36 score.