一个前性,随机试验的修改JOBE对接技术与Gracilis自移植的侧带在肘部的侧带重建
Michael C Ciccotti1, Austin M Looney2, Emma E Johnson1
1Rothman Orthopaedics, Philadelphia, Pennsylvania, USA.
The American journal of sports medicine
|February 4, 2025
概括
这项研究发现,修改后的JOBE和对接技术用于侧带重建 (UCLR) 产生了出色的患者结果,并恢复了游戏率. 停靠提供了更短的手术时间和更高的2年得分,但总体结果是可比的.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 侧带 (UCL) 重建 (UCLR) 在运动员中显著改善了UCL受伤的结果.
- 修改后的乔布和对接技术是UCLR最常用的外科手术方法.
研究的目的:
- 为了前性地比较UCLR对空运动员的修改后的JOBE和对接技术.
- 为了评估患者报告的结果 (PROs),棒球特定指标,成像结果和并发症.
- 假设:这两种手术技术之间没有显著差异.
主要方法:
- 预期的,单个外科医生,单盲随机对照试验 (证据水平,2).
- 修改后的JOBE与使用gracilis自移植和相同康复的对接技术的比较.
- 评估PROs (KJOC,Andrews-Timmerman,Conway-Job分数),压力超声波 (SUS),MRI,以及手术前和后的棒球指标.
主要成果:
- 两组之间的人口统计,手术前成像或手术前PRO没有显著差异.
- 接技术显示了更短的轮时间 (91.5比98.0分钟;P=.001) 和更高的2年KJOC得分 (93.05比79.20;P=.021).
- 在回归游戏率 (80%与69%),回归游戏时间 (13.9与12.9个月) 或并发症 (5.0%与7.5%) 中没有显著差异. 修改后的乔布在SUS上显示了更大的移植厚度 (7.70比6.75毫米;P=.006).
结论:
- 修改后的JOBE和对接技术都实现了高率的良好到优秀的患者报告结果,并恢复了游戏.
- 这种对接技术在缩短门时间和提高两年KJOC分数方面表现出优势.
- 这项研究提供了证据,支持外科医生对这两种技术的信心,基于他们的偏好和专业知识.
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