在全膝关节整形术中,大腿肌是多余的结构吗?
Vikash Kapoor1, Ashish Raj1, Anirban Chatterjee1
1MIOS, Medica Superspecialty Hospital, Kolkata, West Bengal 700099 India.
Indian journal of orthopaedics
|August 1, 2024
概括
在17%的全膝关节整形手术 (TKA) 患者中发生了阳性波普莱特肌损伤,但没有显著影响患者报告的短期结果或膝关节功能. 长期影响需要进一步研究.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 临床结果研究研究
背景情况:
- 人形肌损伤通常被认为对全膝关节整形术 (TKA) 后膝盖静态稳定性的影响很小.
- 有限的研究存在于手术内阴肌损伤对TKA后患者报告的结果测量 (PROMs) 的影响.
研究的目的:
- 为了确定在TKA期间发生的阳性波普莱特肌损伤的发生率.
- 评估此类伤害对一年后的PROMs的影响.
主要方法:
- 一项针对100名接受TKA治疗的患者进行的前性研究.
- 在外科手术期间评估和分类iatrogenic popliteus肌损伤.
- 评估PROM,包括膝关节社会得分 (KSS 1 & 2) 和一年后的WOMAC.
主要成果:
- 观测到17%的发生率为iatrogenic popliteus肌损伤.
- 记录了II级 (13例) 和III级 (4例) 的伤害.
- 在受伤和未受伤组之间,没有在术后膝盖运动或PROM中发现统计学上显著的差异.
结论:
- 在TKA中,阴肌损伤的发生率高于预期.
- 虽然肌损伤是一种风险,但其对患者结果的影响尚不清楚.
- 短期的功能结果没有受到肌损伤的影响,但需要长期的随访.
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