头骨下裂分类对治疗和结果的影响:协商一致的决策.
S Ali Ghasemi1, Joseph A S McCahon2, Jae Chul Yoo3
1Department of Orthopaedic Surgery, Einstein Healthcare Network, Philadelphia, PA, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
整形外科医生在下肩肌撕裂 (STT) 的分类和管理方面缺乏共识. 这项研究确定了指导性传染病治疗决策的关键因素和特征,具有高度的外科医生共识.
科学领域:
- 整形外科手术 整形外科手术
- 肩部外科手术 肩部外科手术
- 肌肉骨研究 研究
背景情况:
- 下肌撕裂 (SCT) 在整形外科医生之间缺乏一致的分类和管理策略.
- 对SCT的诊断和治疗计划的变化需要更清楚地了解撕裂模式和预后指标.
研究的目的:
- 审查关于SCT分类和治疗的当前文献.
- 调查肩膀和肘部外科医生关于他们对SCT损伤的决策过程.
主要方法:
- 对12篇关于SCT分类,治疗和结果的文章的系统综述.
- 一份由专家领导的调查问卷分发给165名ASES成员,以了解SCT管理.
主要成果:
- 对SCT的分类标准是高度可变的,重点是撕裂大小,相关病理或足迹暴露.
- 对于创伤性SCT的早期修复,慢性退行性SCT的修复与急性超脊柱裂,以及轮关节炎中SCT修复的禁忌,存在很高的外科医生协议 (>80%).
结论:
- 确定了患者和撕裂特征,以及外科医生对SCT治疗的共识.
- 拉福斯分类被广泛接受,但需要改进.
- 合作对于开发一种普遍适用的SCT分类系统至关重要.
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