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与手术后硬性相关的并发症在旋转手腕修复后发生

Sarah K Thomas¹, Vivek N Pandey², John W Moore²

¹Medical University of South Carolina, Charleston, USA. thosarah@musc.edu.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|March 7, 2025

概括

在旋转手腕修复 (RCR) 后的手术后肩部硬并没有增加并发症,再入院或成本. 硬的患者更常被送回家,这表明他们有不同的康复需求.

科学领域:

整形外科手术整形外科手术
肌肉骨研究研究
患者的治疗结果.

背景情况:

肩部硬是旋转手套修复 (RCR) 后经常出现的并发症.
关于术后硬度对RCR结果的短期影响的数据有限.
了解这些影响对于管理患者期望和治疗策略至关重要.

研究的目的:

为了研究手术后肩部硬对旋转手套修复后短期结果的影响.
分析RCR患者的并发症,重新手术,再入院,死亡率和成本.

主要方法:

利用2015-2020年全国再接收数据库 (NRD) 对初级RCR患者.
定义硬度使用ICD-CM和PCS代码用于与肩膀相关的疾病.
根据年龄,性别和查尔森并发症指数 (CCI) 进行了病例对照,以比较硬和非硬的队列.

主要成果:

硬性和非硬性队列之间的并发症率,重新手术,再入院或死亡率没有显著差异.
刚性患者显示出出院到家的可能性更高 (p=0.007).
相反,硬的患者不太可能需要出院到其他设施.

结论:

手术后的肩部硬并不是RCR后增加并发症,再入院或医疗费用的预测因素.
硬可能不会造成重大临床或经济负担,为患者咨询提供信息.
出院模式表明,对于患有硬度的患者,恢复或支持需求的潜在变化.

关键词:

复杂性复杂性复杂性在手术后出现硬.旋转器袖子维修旋转器袖子维修肩膀肩膀在肩膀上

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