中年患者的症状性关节形骨切除术:仅仅年龄重要吗?
Vincent J Leopold1, Christian Hipfl2, Carsten Perka2
1Center for Musculoskeletal Surgery, University Hospital Berlin, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany. vincent.leopold@charite.de.
Archives of orthopaedic and trauma surgery
|December 22, 2023
概括
中年患有部发育不良 (DDH) 的患者可以从周围骨切除术 (PAO) 中受益,表现出与年轻患者相似的结果. 对PAO的决定应该优先考虑生物年龄和部状况,而不是时间年龄.
科学领域:
- 整形外科手术 整形外科手术
- 护手术 护手术
- 部发育性形 部发育性形
背景情况:
- 关于中年患有症状性部发育性硬化症 (DDH) 的中年患者周围骨切除术 (PAO) 的结果,存在相互矛盾的证据.
- 了解PAO在老年人群中的有效性对于手术决策至关重要.
研究的目的:
- 为了比较患者报告的结果措施 (PROMs) 中年人接受PAO对DDH与年轻患者队列.
- 评估年龄对PAO后功能恢复和满意度的影响.
主要方法:
- 对120名被诊断患有症状DDH的PAO患者前性收集的数据进行了回顾性分析.
- 患者被分为四个年龄组:<20,20-30,30-40,和>40岁.
- 评估了关节功能 (iHOT-12,mHHS,SHV),活动水平 (UCLA),患者满意度,疼痛和转换到全关节整形术 (THA).
主要成果:
- 在年龄组之间没有观察到术前或术后iHOT-12,mHHS,SHV或UCLA得分的显著差异.
- 所有PROM的改善delta和术后患者满意度在所有年龄组中都是可比的.
- 平均随访时间为63个月,数据表明THA转化率没有显著差异.
结论:
- 周围骨切除术 (PAO) 可能是中年患者患有症状性部发育性形 (DDH) 的有益程序.
- 在PAO后的结果和功能改善在中年和年轻患者群体之间是相似的.
- 对于PAO的手术指示应以生物年龄和关节的手术前状况为指导,而不是仅仅以时间年龄为指导.
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