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在关节镜修复中对创伤性和非创伤性旋转手腕损伤的功能性结果的比较分析
Aixin Liu1, Mingxing Wang2, Baorui Zhang3
1Department of Orthopaedic Surgery, Lu'an Hospital of Traditional Chinese Medicine Affiliated of Anhui University of Traditional Chinese Medicine, Lu'an, 237000, Anhui, China.
BMC musculoskeletal disorders
|October 8, 2024
概括
创伤性旋转袖口损伤 (RCIs) 显示出更糟糕的手术前症状,但在修复后的结果与非创伤性RCIs相似. 全层撕裂,脂肪透和大破裂大小会对旋转器袖口修复成功产生负面影响.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 手术研究的研究.
背景情况:
- 旋转手套损伤 (RCI) 的病因及其对手术结果的影响尚未完全理解.
- 这项研究调查了创伤性与非创伤性RCI对关节镜旋转手套修复后的结果的影响.
研究的目的:
- 为了比较创伤性和非创伤性旋转手套修复的术后结果.
- 为了确定影响旋转手套修复预后的风险因素.
主要方法:
- 包括73名接受关节镜旋转手套修复的患者,分为创伤性 (31) 和非创伤性 (42) 组.
- 评估了手术前和手术后的肩部运动范围,肌肉力量和体检结果.
- 使用单变量和逻辑回归分析来评估差异和确定风险因素.
主要成果:
- 非创伤性RCI的疾病持续时间更长,而创伤性RCI的撕裂区域更大,以及手术前疼痛/功能更差.
- 手术后的结果,包括分数,移动性,力量和并发症,在各组之间是可比的.
- 全层撕裂,脂肪透和更大的撕裂区域显著影响了手术后的UCLA得分.
结论:
- 创伤性RCI存在更大的术前疼痛和功能障碍,但在术后产生与非创伤性RCI相似的结果.
- 全层撕裂,脂肪透和广泛的撕裂大小对旋转手套修复结果有害.
- 强调需要为患有这些不利因素的患者提供专注的术后康复.
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