周围假肢近腰骨骨折后的健康状况
Michael F Nieboer1,2, Olav P van der Jagt1, Leonie de Munter3
1Department of Orthopaedic Surgery, Elisabeth-TweeSteden Hospital (ETZ), Tilburg, the Netherlands.
The bone & joint journal
|April 30, 2024
概括
周围假肢近腰骨折 (PFFs) 在受伤后两年显著降低了健康状况. 功能障碍持续存在,在关节整形术并发症后,流动性和疼痛问题很常见.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 康复医学是康复的医学.
背景情况:
- 周围假肢近腰骨折 (PFFs) 是关节整形术 (THA) 后的严重并发症.
- 关于患有PFF的患者长期健康状况的数据有限.
- 了解PFF后的健康轨迹对于患者管理至关重要.
研究的目的:
- 调查在THA后持续PFF的患者的健康状况模式.
- 在骨折后的两年时间内评估健康状况的变化.
- 确定功能障碍和与健康有关的生活质量变化的特定领域.
主要方法:
- 使用了一项前性观察性队列研究 (Brabant伤害结果监测 - BIOS).
- 数据是通过受伤前的问卷和多个时间点收集的,最多是创伤后24个月.
- 主要结局包括EQ-5D-3L,HUI2和HUI3;次要结局是住院和死亡率.
主要成果:
- 与受伤前的水平相比,大多数时间点的健康实用性得分明显较低.
- 欧洲高尔视觉模拟量表 (EQ-VAS) 的评分在受伤后一个月显著下降.
- 在PFF后的两年里,报告说移动性,自我照顾,通常活动,疼痛/不适等问题增加了.
结论:
- 患有PFF的患者代表了一个脆弱的人群,具有显著的基线功能障碍.
- 在PFF两年后,与受伤前相比,健康状况的临床相关下降仍然存在.
- 最显著的健康状况改善发生在受伤后1至3个月之间.
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