四肢骨和骨肌修复的结果用聚丝带增强了
Cameron Kennedy1, Gunesekeran Kumar2
1Orthopaedics, Aintree University Hospital, Liverpool, GBR.
Cureus
|April 21, 2025
概括
使用聚丝带增强四头肌 (QT) 和肌 (PT) 修复显示出良好到优秀的结果. 然而,多种风险因素和高影响力的伤害预测不良结果和并发症.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤外科 手术 创伤外科
背景情况:
- 四头肌 (QT) 和骨肌 (PT) 破裂是罕见的双节发生的损伤.
- 危险因素包括功能衰竭,肥胖,类固醇/抗生素使用,晚年和糖尿病.
- 及时修复对于恢复腿部延伸器机制的移动性和预防发病率至关重要.
研究的目的:
- 为了评估QT/PT断裂修复的结果,加上聚丝带.
- 评估聚带增强在肌修复中的安全性和有效性.
主要方法:
- 对接受聚带增强QT/PT修复的患者进行回顾性队列研究 (2016年1月至2023年12月).
- 数据收集包括伤害机制,危险因素,手术细节,并发症和功能结果.
- 操作结果 (糟糕,令人满意,好,优秀) 基于运动范围,承重能力,恢复健康状况和需要修改.
主要成果:
- 76%的患者 (n=69) 满足了增强QT/PT修复的纳入标准.
- 88%的受伤者获得良好到优秀的结果;常见的受伤机制是跌倒和与运动有关的扭伤.
- 多重风险因素和高影响力的伤害显著预测了不良结果和术后并发症.
结论:
- 修复QT/PT的聚丝带增强是安全的,并且与良好到优秀的结果有关.
- 先前存在的肌破裂风险因素也与术后并发症风险增加和功能结果较差相关.
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