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长期患者报告的下肢非结合修复手术后的结果:一项回顾性队列研究

Robert Kaspar Wagner¹, Mees P Emmelot², Thuan V Ly³

¹Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef 9, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Musculoskeletal Health, Amsterdam, The Netherlands; Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Harvard Medical School Orthopaedic Trauma Initiative, Harvard Medical School, Boston, MA, USA.

|August 15, 2024

概括

接受下肢非联合手术的患者长期报告身体功能显著下降. 多次手术与更糟糕的结果相关,而心理健康可能会恢复到正常水平.

科学领域:

整形外科手术整形外科手术
肌肉骨健康肌肉骨健康
重建性手术是一种重建性手术.

背景情况:

下肢长骨非结合 presents一个重要的临床挑战,导致相当大的患者发病率.
对于这些非工会的手术治疗后的长期身体和精神健康结果,数据有限.

研究的目的:

评估下肢长骨非联合的成功手术治疗后患者的一般身体和精神健康状况.
在这个患者队列中评估下肢特定的身体功能.

主要方法:

一组124名经过手术治疗的成年患者的下肢长骨非结合被评估,平均随访时间为8.6年.
总体健康状况使用简单表格12 (SF-12) 物理组件摘要 (PCS) 和心理组件摘要 (MCS) 进行测量.
使用下肢功能尺度 (LEFS) 评估了下肢功能. 多变量回归确定了相关因素.

主要成果:

与规范性数据相比,患者报告LEFS (50) 和SF-12 PCS (43) 中位数得分明显较低 (p < 0.0001).
中位数SF-12 MCS (50) 与规范分数 (p < 0.0001) 是可比的.
增加的先前和修复手术数量与较差的LEFS和SF-12 PCS得分相关 (p <0.05).

结论:

长期的随访显示,在成功的非联合手术后,一般和下肢身体功能存在持续的缺陷.
外科手术的数量是对身体功能产生负面影响的关键因素.
心理健康结果可能接近规范水平,表明有恢复的潜力.

关键词:

腿部腿部腿部骨没有工会,没有工会.患者报告的结果.修复手术是重整的手术.提比亚提比亚是什么意思

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