在阿基里斯骨折的手术和非手术治疗后,PROMIS的结果
Philomena Burger1, Mina Botros2, Zein El-Zein2,3
1University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Foot & ankle international
|May 26, 2025
概括
阿基勒斯肌破裂的手术和非手术治疗产生了类似的患者报告的身体功能结果. 手术增加了伤口并发症,并显示了疼痛和抑郁症的缓慢初步改善.
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 康复科学 康复科学
背景情况:
- 阿基里斯肌破裂是成年人常见的伤害.
- 最优的管理策略 (操作性与非操作性) 仍在争论中.
- 患者报告的结果对于评估治疗有效性至关重要.
研究的目的:
- 为了比较患者报告的结果,使用患者报告的结果测量信息系统 (PROMIS) 在急性阿基里斯断裂的手术和非手术治疗后.
- 为了评估治疗组之间的身体功能,疼痛干扰和抑郁症的差异.
- 评估二次结果,包括并发症和复发率.
主要方法:
- 一项回顾性队列研究包括216名阿基里斯突破患者 (115名非手术,101名手术).
- 预言的身体功能 (PF),疼痛干扰 (PI) 和抑郁症得分被前性地收集.
- 最小临床重要差异 (MCID) 用基于分布的方法 (1⁄2 SD) 确定.
主要成果:
- 手术和非手术治疗都改善了PROMIS PF,PI和抑郁症得分.
- 在6个月或最终随访后的PROMIS分数中,没有发现群体之间的统计学上显著差异.
- 与非手术治疗相比,手术治疗导致伤口并发症 (痕,感染,愈合延迟) 的增加.
结论:
- 与非手术治疗相比,阿基里斯肌破裂的手术治疗与患者报告的身体功能的统计学上有意义的差异无关.
- 手术导致伤口并发症的比率更高.
- 非手术治疗可能在初始疼痛和抑郁症症状改善方面具有优势.
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