预测因素和需要在触发指释放后在同一数字上进行后续注射或手术的发生率
Nicholas B Pohl1, Evan Derector1, James Russo1
1Rothman Orthopaedic Institute, Philadelphia, PA, USA.
概括
在触发指释放手术后,不到3%的患者需要进一步治疗. 重复手术率低于1%,其中1.92%需要类固醇注射来治疗持续的触发指症状.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 关于在触发指释放后重新手术或额外的皮质类固醇注射的数据有限.
- 这项研究量化了手术触发指释放后同一个数字的后续治疗需求.
- 确定与需要进一步干预触发指相关的风险因素.
研究的目的:
- 为了确定重复注射皮质类固醇或重复手术的发病率,触发指释放.
- 为了确定患者特异性和程序特异性风险因素,需要在同一数字中进行额外的治疗.
主要方法:
- 对接受初级触发指释放的患者进行回顾性队列研究 (2015-2017年).
- 评估后续类固醇注射或同一指的重新手术的发生率.
- 多变量回归分析以确定进一步治疗的独立风险因素.
主要成果:
- 总体而言,2.68%的患者需要在同一数字上进行额外的治疗 (注射或手术).
- 重复手术率为0.76%,而1.92%的患者需要进一步的皮质类固醇注射.
- 指甲,中指或多个手指的初始释放预测了随后治疗的需要.
结论:
- 触发指释放的重新操作率很低 (<1%),与现有文献保持一致.
- 触发指手术后需要注射类固醇的发生率为1.92%.
- 结果为外科医生与患者的沟通提供了有价值的见解,这些见解涉及外科手术的结果和可能需要额外的触发指治疗.
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