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经过旋转手腕修复的残肢患者的术后并发症和结果
Marissa L Boettcher1, Kirsi S Oldenburg1, Garrett Neel1
1Department of Orthopaedics, Medical University of South Carolina, Charleston, SC, USA.
Shoulder & elbow
|November 17, 2023
概括
经过旋转手腕修复 (RCR) 的残疾患者与正常人相比,经历了类似的并发症和修订率. 这项研究提供了宝贵的洞察力,用于手术治疗 paraplegic 患者的肩部疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 脊髓损伤研究 脊髓损伤研究
背景情况:
- 患者经常因过度使用而患有慢性肩部疼痛.
- 旋转袖口修复 (RCR) 是用于肩部疼痛的常见手术程序.
研究的目的:
- 为了研究经手术后并发症,再入院率和转子手腕再撕裂率,在接受RCR的残疾患者中.
- 将这些结果与匹配的非残疾人队列进行比较.
主要方法:
- 2011-2018年国家 (全国) 住院患者样本 (NIS) 数据库的回顾性分析.
- 鉴定了194名患有残的初级RCR患者和194名匹配的非残对照.
- 人口因素,并发症,术后并发症,住院时间,修复率和再入院率的比较.
主要成果:
- 麻患者的并发病 (COPD,高血压,心血管疾病,肥胖,先前的肌痛性心脏病) 较少,但尿路感染率较高.
- 麻患者的停留时间更长 (4天而不是1天),急性呼吸困扰综合征的发病率更低.
- 术后并发症率和修复率在残疾人和非残疾人组之间是相似的.
结论:
- 经过RCR的残患者表现出与非残患者相比,可比的术后并发症和修订率.
- 尽管伴随性疾病较少,但残疾患者在医院住院时间较长,尿路感染风险增加.
- 这项研究解决了文献中的差距,提供了大规模的,对 paraplegic个体的RCR结果进行匹配的比较.
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