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在接受骨切除术的活跃患者中,在10年的最低随访期内维持活动水平

Deniz C Ince¹, Cecilia Pascual-Garrido¹, Kyle P O'Connor¹

¹Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University in St Louis, St Louis, Missouri, USA.

The American journal of sports medicine

|April 25, 2025

概括

周周骨架骨切除术 (PAO) 帮助部发育不良的活跃患者长期保持高活动水平. 大多数患者保留了本源部,并在PAO后12.5年保持活跃,显示其耐用性.

科学领域:

整形外科手术整形外科手术
保护部保护部
基于活动的结果.

背景情况:

周围骨切除术 (PAO) 用于治疗关节发育不良,这种疾病会导致疼痛和活动减弱.
加利福尼亚大学洛杉矶分校 (UCLA) 的活动分数衡量了手术前后患者的活动水平.
了解PAO后的长期活动维护对活跃个体至关重要.

研究的目的:

为了评估经过PAO的患者的长期活动维持.
为治疗决策和患者咨询提供数据.
评估PAO作为部保护技术的耐用性.

主要方法:

对接受PAO (2006-2013) 的患者进行前性纵向队列研究.
纳入标准:横向中心边角<25°,UCLA得分≥7,至少10年后续.
收集了UCLA,修改了哈里斯部分数和WOMBAT分数.

主要成果:

在平均12.5年的随访期分析了61个部; 79.4%的患者不需要进一步的手术.
88.5%的人保持高活性 (UCLA ≥7) 或具有与此无关的较低活性.
平均UCLA得分略有下降 (8.9至8.1,P=.009),但功能得分显著改善 (mHHS,WOMBAT疼痛).
在25岁之前的PAO与随访时更高的活动有关 (P=.030).

结论:

PAO是一种有效的关节保护手术,适用于关节发育不良的活跃患者.
该程序证明了耐用性,大多数患者在长期随访时 (平均12.5年) 保持高活动水平.
PAO可以帮助保存本地部,并允许患者保持他们想要的活动水平.

关键词:

活跃的患者是活跃的患者.部发育不良症部发育不良症保护部保护部周周骨架骨质切除术 (periacetabular osteotomy) 是一种切除术.

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