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多关节膝关节损伤的治疗结果与没有内部支架 suture扩大治疗的结果

Shane S Korber¹, Amir Fathi¹, Ioanna K Bolia¹

¹Department of Orthopaedic Surgery, Keck School of Medicine of USC, Epstein Family Center for Sports Medicine at Keck Medicine of USC, 1520 San Pablo St #2000, Los Angeles, CA, 90033, USA.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|July 25, 2023

概括

与非IB治疗相比,多关节膝关节损伤 (MLKI) 的内部支架 (IB) 在结果和重新手术率方面显示出有前途的趋势. 虽然由于研究功率,IB在统计上并不显著,但可能对MLKI管理有好处.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
生物机械工程生物机械工程

背景情况:

多关节膝关节损伤 (MLKI) 通常需要复杂的手术管理.
评估新的外科辅助,如内部支架 (IB) 对于改善患者的治疗结果至关重要.

研究的目的:

为了比较手术后的功能结果和MLKI患者与内支架 (IB) 和没有内支架 (IB) 治疗的患者之间的再手术率.

主要方法:

一项回顾性研究分析了在2010-2020年间接受手术治疗的126名MLKI患者.
经手术后的结果使用莱肖尔姆膝盖评分,ML-QOL和PROMIS CAT (疼痛干扰,身体功能,运动) 来评估.
在IB和非IB组之间比较了再融资率.

主要成果:

在IB组 (n=89) 和非IB组 (n=37) 中,术后的PROMIS CAT,ML-QOL和Lysholm得分相似.
两组之间在功能结果或重新操作率方面没有发现统计学上显著的差异.
平均随访时间为37.9个月,非IB组的随访时间更长.

结论:

虽然结果对IB有有利的趋势,但该研究缺乏确认显著性的统计能力.
内部支架显示在管理MLKI方面具有潜在的实用性.
需要更大,匹配的队列来最终评估MLKI中IB的临床影响.

关键词:

内部支架增强器的增加膝盖脱位膝盖脱位膝盖脱位在MLKIKI上,我们可以看到MLKI.多关节关节膝盖受伤的情况

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