骨平原骨折后患者报告的结果:对膝关节功能和活动水平的中短期影响
Claas Neidlein1, Julius Watrinet2, Robert Pätzold2
1Department of Orthopedics and Trauma Surgery, University Hospital, LMU Munich, Musculoskeletal University Center Munich (MUM), Marchioninistraße 15, 81377 Munich, Germany.
Journal of clinical medicine
|April 27, 2024
概括
高原骨折 (TPFs) 无论复杂程度如何,都显示出有利的中期结果,体育回归率高. 患者可能高估了恢复速度,需要现实的期望和潜在的活动修改,以获得长期成功.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 康复医学 康复医学 康复医学
背景情况:
- 复杂的近端骨平原骨折 (TPFs) 通常导致患者高估预后.
- 影响这种误解的因素包括有限的理解,乐观和疼痛强度.
- 了解这些因素对于有效的患者沟通和设定现实的治疗期望至关重要.
研究的目的:
- 分析手术治疗的TPF的结果.
- 专注于患者报告的功能恢复,疼痛和满意度的结果措施 (PROM).
- 提供对现实的患者期望和康复局限性的见解.
主要方法:
- 对手术治疗的TPF (2014-2019) 的回顾性单中心研究,随访时间≥12个月.
- 使用的PROM:国际膝关节文档委员会 (IKDC) 评分,Lyholm评分,Tegner评分和视觉模拟尺度 (VAS) 对疼痛.
- 根据沙茨克分类的骨折,分组为简单 (I-III) 和复杂 (IV-VI).
主要成果:
- 包括54名患者 (平均年龄为51.1岁,随访时间为3.9年).
- 所有结局得分在手术后1至3.9年间显著改善.
- 简单和复杂的TPF显示出良好到优秀的结果,群体之间的Lysholm分数没有显著差异.
- 观察到100%的体育恢复率,其中25%的简单骨折患者和45%的复杂骨折患者修改了活动.
结论:
- 简单和复杂的TPF都显示出有利的中期结果,无论损伤严重程度如何.
- 长期跟踪显示,从1年到最终评估的时间有显著改善.
- 高回归体育率是可以实现的,尽管往往需要对低影响体育进行活动修改.
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