在初级和修订后喷气程序中临床意义的临床值,具有可比结果的成果
Ignacio Pasqualini1, Ignacio Tanoira2, Eoghan T Hurley3
1Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
The American journal of sports medicine
|April 9, 2024
概括
这项研究为肩部不稳定性手术的最小临床重要差异 (MCID) 和患者可接受的症状状态 (PASS) 建立了基准. 这些发现有助于解释Latarjet手术的结果,并改善患者的护理.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 患者研究成果研究结果
背景情况:
- 在肩膀不稳定的Latarjet手术后解释临床结果需要准确的基准.
- 定义最小临床重要差异 (MCID) 和患者可接受的症状状态 (PASS) 对接受初级和修复后喷射手术的特定患者群体至关重要.
研究的目的:
- 为了确定视觉模拟尺度 (VAS) 疼痛的MCID和PASS值,运动肩部结果评分系统 (ASOSS) 和罗伊分数.
- 评估这些值后,无论是初级和修订后喷气式手术肩部不稳定.
主要方法:
- 进行了对149名患者 (82名初级,67名后期修订) 的回顾性审查.
- 患者报告的结果 (VAS,ASOSS,Rowe) 被采集在手术前和1年后.
- 基于分布的和基于的方法被用于计算MCID和PASS,分别.
主要成果:
- 对于VAS,Rowe和ASOSS分数的MCID和PASS值已在初级和修订后程序中建立.
- 很高的患者百分比达到MCID和PASS值,表明成功的结果.
- 确定了MCID (例如,初级后射器:VAS 1.1,Rowe 7.5,ASOSS 9.6) 和PASS (例如,初级后射器:VAS ≤1,Rowe ≥90,ASOSS ≥85) 的特定值.
结论:
- 这项研究提供了VAS,Rowe和ASOSS分数的基本MCID和PASS值,这些分数是在Latarjet程序之后获得的.
- 大多数患者达到这些基准,这表明初级和修复后喷气手术的疗效.
- 这些已确定的指标可以加强未来的研究和临床决策,以管理肩部不稳定.
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