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高BMI对肩部稳定结果和复发率的影响
Brent Henderson1, George Matta1, Benjamin L Brej1
1Department of Orthopaedics, The Ohio State University College of Medicine, Columbus, Ohio, USA.
Orthopaedic journal of sports medicine
|February 2, 2026
概括
这项研究发现,身体质量指数 (BMI) 并没有显著影响肩部不稳定性手术的结果. 患有正常,超重或肥胖BMI的患者经历了类似的功能结果和手术后复发率.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物统计学 生物统计学
背景情况:
- 体重指数 (BMI) 是部和膝盖手术中已知的因素,但它对肩部不稳定性手术结果的影响不太清楚.
- 这项研究调查了BMI和临床结果之间的关系,包括在肩部不稳定性手术后的复发率.
研究的目的:
- 分析肩部不稳定性手术后的身体质量指数 (BMI) 和临床结果之间的关联.
- 为了确定高BMI是否会影响肩部不稳定性手术患者的复发率.
主要方法:
- 一项回顾性队列研究,涉及509名在2009年至2023年期间接受了肩部不稳定性手术的患者.
- 患者被分为体重不足/正常体重 (BMI ≤25 kg/m2),超重 (BMI >25至 ≤30 kg/m2) 和肥胖 (BMI >30 kg/m2) 的两组.
- 在BMI队列中收集和分析了临床结果和功能标记.
主要成果:
- 与正常体重和超重患者相比,肥胖患者表现出更高的抑郁率和明显较低的术后内部旋转率.
- 尽管运动范围的统计差异很大,但这些差异并不具有临床意义.
- 肥胖患者的整体不稳定性复发率为27%,正常/体重不足患者为16%,超重患者为13% (P = .33).
结论:
- 肩部不稳定性手术的结果与肥胖没有显著的关联.
- 虽然存在一些运动范围的差异,但它们并不具有临床意义,可能是由于身体习惯.
- 肩部不稳定性手术是一种安全有效的手术,无论患者的BMI如何.
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