在关节关节破裂的严重程度和关节关节撕裂的关节关节透镜后的功能结果之间的关联
Stephen M Gillinov1, Jonathan S Lee1, Bilal S Siddiq1
1Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
在关节镜术患者中,严重的冠状动脉关节 (CLJ) 损伤导致基线疼痛和功能恶化. 然而,这些患者表现出显著的功能改善,并在24个月后达到与轻度CLJ损伤患者相似的结果.
科学领域:
- 整形外科手术 整形外科手术
- 关节透视术 关节透视术
- 冠状腺结节 (CLJ) 研究研究
背景情况:
- 冠状腺关节 (CLJ) 在关节功能中至关重要.
- 在关节镜术后,CLJ衰竭严重程度对结局的影响尚不清楚.
研究的目的:
- 为了评估CLJ损伤如何影响患者报告的结果措施 (PROMs) 24个月后关节镜治疗腹部撕裂.
主要方法:
- 对从198名接受关节透视术的患者前性收集的数据进行了回顾性审查.
- 关节损伤的分类 (贝克分类) 分为轻度 (等级0-2) 和重度 (等级3-4).
- 使用线性混合效应模型的组之间PROM (HOS-ADL,NAHS,VAS疼痛) 和重新操作率的比较.
主要成果:
- 患有严重CLJ损伤的患者报告了更糟糕的基线疼痛和功能.
- 尽管如此,严重的CLJ组在24个月后表现出更大的功能改善.
- 在轻度和严重的CLJ组中,临床上有意义的结果值以相似的速度实现.
结论:
- 严重的CLJ损伤与手术前和短期手术后疼痛和功能较差有关.
- 关节镜术为患有严重的CLJ损伤的患者提供了巨大的好处,具有可比的长期功能改善.
- 关节的完整性是一个重要的因素,但严重的损伤并不排除积极的外科手术结果.
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