急性阿基里斯肌破裂和慢性肌病手术:相同的肌,有性别和种族差异
Tara Saxena1, Amol Saxena2, Miranda Royds3
1Department of Orthopedic Surgery, Louisiana State University Health Sciences Shreveport, LA, United States.
概括
男人更有可能需要手术急性阿基里斯肌破裂,而女性经常有手术慢性肌病. 呈现存在种族差异,但手术结果和并发症率在不同群体中是相似的.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 性别和种族影响阿基里斯肌损伤,但手术表现和结果被低估.
- 这项研究比较了急性阿基里斯肌破裂与慢性肌病的手术人口统计和并发症.
研究的目的:
- 为了比较急性阿基勒斯肌破裂和慢性肌病的手术患者之间的人口统计和并发症.
- 确定手术表现模式和术后结果的基于性别和种族的差异.
主要方法:
- 对从2016年6月至2022年6月间经过手术的186名患者前性收集数据的回顾性审查.
- 收集的数据包括人口统计,手术指示,恢复活动和并发症.
- 统计分析使用了学生的t测试和费舍尔的精确/奇平方测试 (P < .05显著性).
主要成果:
- 男性更有可能接受急性阿基勒斯肌修复手术 (P < .0001),而女性更有可能接受慢性肌病 (76%) 的手术.
- 亚洲患者急性修复的可能性更高 (87%),而白人患者更可能因慢性肌病症接受手术 (89%) (P < .00001).
- 在并发症率或恢复活动方面,没有发现基于性别或种族的显著差异.
结论:
- 对急性阿基里斯断裂的手术干预在男性中更为常见,而对慢性肌病的手术在女性中更为常见.
- 阿基里斯肌手术的演示模式因种族而异.
- 术后并发症率和恢复活动率在不同性别和种族之间是可比的.
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