在外科手术治疗带不稳定的后,基于性别的结果差异
Danielle H Markus1, Eoghan T Hurley, Andrew S Bi
1Division of Sports Medicine, New York University Langone Health, Orthopedic Surgery, New York, New York.
Bulletin of the Hospital for Joint Disease (2013)
|February 4, 2026
概括
男性患者报告说,在中侧骨关节 (MPFL) 重建后,由于骨不稳定,结果更好. 女性患者的游戏回归率 (RTP) 较低,活动期间疼痛得分更差.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 生物机械分析分析
背景情况:
- 带不稳定是一种常见的骨科疾病.
- 中侧骨带重建 (MPFL) 是一种用于骨不稳定的手术治疗方法.
- 在MPFL重建后的结果中基于性别的差异尚未得到充分理解.
研究的目的:
- 为了比较手术后的疼痛,功能,满意度和回归玩 (RTP) 在MPFL重建后的男性和女性之间.
主要方法:
- 141名接受MPFL重建的患者的回顾性审查.
- 库贾拉分数,视觉模拟量表 (VAS),患者满意度和MPFL-伤害后恢复运动 (MPFL-RSI) 分数的评估.
- 男性和女性患者组之间的临床结果的比较.
主要成果:
- 与女性相比,男性患者在活动期间的RTP率 (58.1%与33.3%) 和VAS得分 (1.8与3.0) 显著更高,而女性患者在活动期间的VAS得分更低.
- 女性患者报告MPFL-RSI得分明显较差 (55.6比69.5).
- 趋势表明女性的休息时Kujala和VAS得分较低,尽管在统计学上并不显著.
结论:
- 在MPFL重建后,女性患者经历了较差的临床结果,因为带不稳定.
- 在女性中观察到较低的RTP率,在活动期间更严重的疼痛,以及较差的体育回归得分.
- 进一步的研究可能会探索导致这些基于性别的结果差异的因素.
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