靠近腿筋突破:使用共享决策策略进行手术与保守治疗
Kasper Spoorendonk1, Marie Bagger Bohn1,2, Jens Ole Storm1
1H-Hip, Department of Physio and Occupational Therapy and Orthopaedic Surgery, Horsens Regional Hospital, Horsens, Denmark.
Orthopaedic journal of sports medicine
|October 23, 2024
概括
靠近腿筋突破的手术和保守治疗都产生了良好的结果. 一个共享的决策策略确保有效的管理,无论选择的治疗路径为腿筋损伤.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 康复科学是康复的科学.
背景情况:
- 靠近腿筋突破是可以通过手术或保守治疗的损伤.
- 手术治疗通常产生良好的结果,但对保守管理的结果不太了解.
- 一个共享的决策策略被用来指导治疗选择.
研究的目的:
- 为了比较近端腿筋突破的外科手术与保守治疗的结果.
- 评估共享决策策略在管理这些伤害方面的有效性.
主要方法:
- 一项队列研究 (证据水平,2) 包括24名患有MRI验证的近端腿筋突起的患者.
- 患者接受了基于共享决策的手术 (11) 或保守 (13) 治疗.
- 结果使用珀斯腿筋评估工具 (PHAT),部运动活动量表和在基线,6个月和12个月的最大力量测量来评估结果.
主要成果:
- 手术组的治疗开始时间显著缩短,肌收缩更大.
- 这两组在PHAT分数和12个月的最大强度都显著改善.
- 在12个月后,两组之间的部运动活动量表水平没有发现显著差异.
结论:
- 对于近端腿筋突变的共享决策策略可以带来良好的临床结果.
- 无论是外科手术还是保守治疗,当通过患者和医疗服务提供者的合作选择时都有效.
- 这项研究强调了针对腿筋损伤的个性化治疗方法的成功.
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