影响晚期复发的因素发生在旋转手套修复后2年以上
Myung-Seo Kim1, Seung-Hyun Sim1, Sung-Min Rhee2
1Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University and Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.
Orthopaedic journal of sports medicine
|November 28, 2025
概括
晚期旋转手套复发 (>手术后2年) 不太常见,但与糖尿病有关. 目前的吸烟者患有失控的糖尿病和小眼,面临着更高的风险.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 放射学 放射学是指放射学
背景情况:
- 旋转手套复发可能发生在手术修复后的几年内,而不仅仅是在早期的术后阶段.
- 这些晚期退休的风险因素在很大程度上尚未研究.
研究的目的:
- 为了确定旋转手腕修复 (RCR) 后迟复发 (>2年) 的频率.
- 为了确定与晚期复发相比早期复发 (≤6个月) 相关的人口和放射学因素.
主要方法:
- 一项病例控制研究分析了345名在RCR后旋转手腕复发的患者,分为早期 (≤6个月) 和晚期 (>2年) 组.
- 根据年龄,性别和初始撕裂大小进行调整的倾向分数匹配 (PSM).
- 人口统计学 (吸烟,糖尿病) 和放射学 (眼大小) 因素分析了与晚期复发的关联.
主要成果:
- 晚期复发发生在RCR后的9%的患者中.
- 糖尿病 (受控和不受控制) 与晚期复发有显著的关联.
- 在较小的中侧 (ML) 撕裂的患者中,目前的吸烟和不受控制的糖尿病是晚期复发的重要风险因素.
结论:
- 在手术修复后的两年多时间内,旋转手套的复发可能会发生.
- 糖尿病是晚期复发的重要危险因素.
- 目前的吸烟者和患有失控糖尿病的人面临着晚期再流的高风险,特别是较小的水.
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