开放式伤害和肥胖作为膝关节脱的血管损伤的新兴风险因素:一项回顾性研究
Victor Lu1, Xiaoyu Chen1, Azeem Thahir2
1School of Clinical Medicine, University of Cambridge, CB2 0SP, United Kingdom.
The Knee
|December 7, 2023
概括
开放式伤害和肥胖是膝关节脱位 (KD) 血管损伤的重要危险因素. 患有KD的肥胖患者面临更高的血管和非血管并发症率,需要谨慎的血管评估.
科学领域:
- 整形外伤是指整形外伤.
- 血管外科 血管外科
- 肥胖医学 肥胖医学
背景情况:
- 膝关节脱位 (KD) 是一种罕见但严重的骨科紧急情况.
- 在KD中未被诊断的血管损伤可能导致肢体截肢.
- 在KD中血管损伤的最佳诊断策略仍在争论中.
研究的目的:
- 确定膝关节脱位中血管损伤的危险因素.
- 比较肥胖与非肥胖KD患者的特征.
- 分析KD血管损伤的诊断方式.
主要方法:
- 在一个主要的创伤中心对膝关节位移 (2015-2022) 的回顾性审查.
- 按年龄,性别,BMI,受伤机制和并发症分层.
- 对风险因素进行单变量和多变量回归分析;对组比较进行t测试和基平方测试.
主要成果:
- 开放式伤害和肥胖被确定为血管损伤的重要风险因素 (p<0.05).
- 肥胖患者的开放性损伤,血管损伤,低能耗损伤和非血管并发症的发生率更高.
- 肥胖也与截肢风险增加有关 (p=0.036).
结论:
- 开放式伤害和肥胖是膝关节脱的血管损伤的确诊危险因素.
- 患有KD的肥胖患者呈现出明显的损伤模式和更高的并发症率.
- 临床医生应在评估肥胖KD患者血管损伤时保持高度警.
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