靠近腿筋突破损伤后复发的危险因素,包括手术的最佳时间
Nicolas Lefèvre1, Kinan Freiha1, Mohamad K Moussa1
1Clinique du sport, Paris, France.
The American journal of sports medicine
|March 14, 2024
概括
靠近腿筋突破损伤 (PHAI) 在手术修复后的复发率为4.59%. 关键的风险因素包括手术延迟 (>32天) 和完全的初始破裂,大多数重裂发生在手术后六个月内.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 靠近腿筋突破损伤 (PHAI) 是常见的,但重发的风险因素和损伤慢性影响尚不清楚.
- 了解这些因素对于优化手术修复后患者的结果至关重要.
研究的目的:
- 为了确定PHAI的手术修复后的复发率.
- 为了确定与PHAI复发相关的风险因素.
- 根据损伤-手术延迟,确定初级手术干预的最佳时间.
主要方法:
- 对从2002年至2022年间为PHAI进行手术治疗的740名患者队列的前性收集数据的回顾性分析.
- 主要结果:PHAI复发率. 二次结果:基于损伤-手术延迟的风险因素分析和复发发病率.
- 统计分析包括单变量和多变量分析,以及ROC曲线分析以确定最佳延迟值.
主要成果:
- 在PHAI修复后的整体复发率为4.59%.
- 大多数复发 (75%) 发生在手术后6个月内,其中74%是无创性.
- 重新破裂的重要风险因素包括较长的初始手术延迟 (>32天) 和完整的初始破裂.
- 超过32天的损伤手术延迟被确定为预测重裂的最佳门.
结论:
- 在手术修复PHAI后,复发率为4.59%.
- 损伤的慢性 (延迟>32天) 和完整的初始破裂是再次破裂的重要风险因素.
- 早期的手术干预,理想情况下在受伤后的32天内,可能有助于降低复发率.
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