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双臂度变化与同时旋转手套修复的结果:一个多中心数据库分析分析
David P Hagan1, Kevin A Hao2, Joseph J King1
1Department of Orthopaedic Surgery and Sports Medicine, University of Florida, Gainesville, Florida, USA.
Orthopaedic journal of sports medicine
|June 26, 2023
概括
与旋转袖口修复 (RCR) 进行双臂形术显示出类似的结果,无论固定方法如何. 外科医生的偏好和患者的因素应指导选用透技术,以获得最佳的结果.
科学领域:
- 整形外科手术 整形外科手术
- 肩膀重建的重建 肩膀重建的重建
- 运动医学 运动医学
背景情况:
- 之前的研究表明,在旋转手腕修复 (RCR) 过程中,不同双肩度法的疼痛和功能结果相似.
- 与RCR相结合的双肩形术的最佳外科手术方法需要进一步研究.
研究的目的:
- 为了比较各种 biceps tenodesis 构造,位置和技术在同时接受 RCR 的患者的疗效.
- 用一个大型的多中心患者数据库来分析结果.
主要方法:
- 一项回顾性队列研究分析了1903名患者,这些患者在2015年至2021年期间接受了双肩度与RCR.
- 使用美国肩膀和肘部外科医生得分,单次评估数值评估,疼痛视觉模拟量表和退伍军人RAND12项健康调查 (VR-12) 在手术后1年和2年评估结果.
- 基于十度构造 (,螺丝,) 位置 (胸下,胸上,槽顶部) 和技术 (内嵌,内嵌) 进行了比较.
主要成果:
- 虽然VR-12心理分数的改善有利于1年后的/固定和2年后的onlay技术,但在十度测试方法之间没有发现其他显著差异.
- 实现临床显著差异最小 (MCID) 的患者比例在不同的十种方法中没有显著差异.
结论:
- 与RCR相结合的双胞胎形术产生了积极的结果,无论使用的固定结构,位置或技术如何.
- 在RCR中选择最佳的双肩法仍然未确定,强调了外科医生的偏好和患者特定因素在手术决策中的重要性.
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