四肢修复后与糟糕结果相关的危险因素 四肢修复后的危险因素
Carlo Coladonato1, Adeeb Jacob Hanna1, Neel K Patel1
1Rothman Orthopaedic Institute at the Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Orthopaedic journal of sports medicine
|February 21, 2024
概括
患者年龄,女性性别和更高的BMI与四头肌修复后更糟糕的结果有关. 吸烟和视网膜眼也会增加并发症的风险. 确定可修改的因素是获得更好的结果的关键.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨研究的研究.
- 生物医学工程 生物医学工程
背景情况:
- 四肢肌破裂在老年人和那些有潜在健康问题的人中很常见.
- 这些伤害显著影响患者的流动性和生活质量.
研究的目的:
- 调查患者特异性因素和撕裂特征与四头肌肌修复后的结果之间的相关性.
- 为了确定与手术干预后不良结果相关的风险因素.
主要方法:
- 对191名接受四头肌修复 (2016-2021) 的患者进行了回顾性审查.
- 收集的数据包括患者的人口统计学,撕裂特征和术后结果 (例如,运动范围,延伸器滞后,并发症,修复手术).
- 糟糕的结果是由特定的标准定义的,包括修复手术,并发症,有限的膝盖 flexion,或延伸器滞后.
主要成果:
- 增加年龄,女性性别和更高的体重指数 (BMI) 与较差的结果有关,包括减少膝盖曲和增加延伸器滞后.
- 目前的吸烟状况和同时发生的视网膜撕裂与术后并发症有显著联系.
- 很大一部分患者在手术后经历了运动范围的限制或延伸器滞后.
结论:
- 患者特定的因素,如年龄,BMI,性别,吸烟状况和视网膜干扰,是四头肌修复后不良结果的重要风险因素.
- 需要进一步的研究来确定可修改的风险因素,以改善患者的期望和手术结果.
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