阿基里斯肌破裂初级修复技术:移植与非移植之间的比较回顾性研究
Majd Mzeihem1, Joseph El Bachour1, Maya Hemdanieh2
1Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Journal of clinical orthopaedics and trauma
|May 16, 2024
概括
使用移植的阿基里斯肌破裂修复导致的并发症比没有移植的修复更多. 早期诊断和治疗对于在阿基里斯肌手术后最大限度地降低风险至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨损伤研究研究
背景情况:
- 阿基里斯肌破裂是一种常见的伤害,手术修复选择可能会影响术后并发症.
- 了解与不同手术技术相关的并发症率对于患者的治疗结果至关重要.
研究的目的:
- 为了比较30天的术后并发症的发生率,以阿基里斯肌破裂的初级手术修复后与没有移植的阿基里斯肌破裂.
- 识别可能改变并发症率的因素.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划 (ACS NSQIP) 数据库 (2005-2021) 的回顾性队列研究.
- 患者被分为两组:使用移植的初级手术修复和没有移植的初级手术修复.
主要成果:
- 总共分析了7010名患者. 移植组的并发症率为10.9%,是无移植组的两倍.
- 系统性并发症在移植组 (8.3%) 与没有移植组 (3.8%) 相比较高.
- 慢性类固醇使用被确定为整体并发症的效果修饰剂 (P=0.016).
结论:
- 使用移植的阿基里斯肌破裂的初级手术修复与没有移植的修复相比,术后并发症的发生率更高.
- 及时诊断和手术干预对于降低阿基里斯肌破裂并发症的可能性至关重要.
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