三角纤维软骨复杂损伤:操作和非操作管理的结果
James Onggo1,2, Kieran Walsh1, Genevieve Darcy1
1Department of Orthopaedic Surgery, Box Hill Hospital, Box Hill, Victoria, Australia.
ANZ journal of surgery
|February 3, 2024
概括
三角纤维软骨复合体 (TFCC) 损伤的外科治疗可能会导致更糟糕的结果. 戒烟是一种可修改的风险因素,可以改善TFCC损伤的结果.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨成像系统的成像
- 康复医学 康复医学 康复医学
背景情况:
- 三角纤维软骨复合体 (TFCC) 损伤的发生率正在上升,但对其自然史和最佳管理的理解仍然有限.
- 关于TFCC损伤的最佳治疗策略存在缺乏共识,需要对相关变量和结果进行进一步的研究.
研究的目的:
- 为了调查患者报告的TFCC损伤中的残疾和疼痛结果.
- 检查影响结果的因素,包括管理选择和患者特征.
- 分析手术干预与患者报告的TFCC损伤结果之间的关联.
主要方法:
- 在2010-2019年期间,对124名通过手腕MRI诊断的TFCC损伤患者进行了回顾性队列研究.
- 用手臂,肩膀和手的残疾 (DASH) 评分和疼痛视觉模拟尺度 (VAS) 测量患者报告的结果.
- 随访时间平均为75.5个月,以评估结果",优秀"被定义为DASH ≤10和VAS ≤2.2.
主要成果:
- 在124名患者中,有51名患者取得了优异的结果 (DASH和VAS分数).
- 同时的病理和手术管理与较差的DASH和VAS分数有关.
- 创伤病因和吸烟与较差的VAS得分有关,而年龄不是一个显著的预测因素.
结论:
- 与非手术方法相比,手术治疗TFCC损伤的结果不太好.
- 戒烟成为改善TFCC损伤后患者结果的关键,可修改的风险因素.
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