Recent Trends in Concomitant Distal Clavicle Excision During Rotator Cuff Repair.

Matthew J Partan, John M Tarazi, Peter B White, Cesar Iturriaga, Randy M Cohn
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Abstract

The purpose of this study is to evaluate trends in distal clavicle excision (DCE) in association with arthroscopic rotator cuff repair (RCR) from 2010 to 2019. The National Surgical Quality Improvement Program database was queried to identify all patients who underwent arthroscopic RCR from January 1, 2010 to December 31, 2019, and was further subdivided into procedure type: (1) isolated RCR; and (2) RCR with arthroscopic or open DCE. The proportion of each surgery type, by year and within groups, was calculated. The Cochran-Armitage test for trend was used to analyze yearly proportions of RCR with concomitant DCE. In a sample size of 19,163 patients, the proportion of RCR with DCE decreased from 51.2% to 40.8% (r = -0.830; p = 0.003). Although the results of this study suggest that surgeons are performing fewer DCEs in the setting of RCR, many DCEs are still being done. (Journal of Surgical Orthopaedic Advances 33(2):077-079, 2024).

肩袖修复术中同时进行锁骨远端切除术的最新趋势。
本研究旨在评估2010年至2019年与关节镜肩袖修复术(RCR)相关的锁骨远端切除术(DCE)的发展趋势。研究人员查询了国家外科质量改进计划数据库,确定了 2010 年 1 月 1 日至 2019 年 12 月 31 日期间接受关节镜 RCR 的所有患者,并进一步细分了手术类型:(1) 孤立 RCR;(2) 带有关节镜或开放式 DCE 的 RCR。按年份和组内计算了每种手术类型的比例。采用Cochran-Armitage趋势检验分析了RCR合并DCE的年度比例。在 19,163 例患者样本中,RCR 合并 DCE 的比例从 51.2% 降至 40.8%(r = -0.830;p = 0.003)。尽管这项研究结果表明,外科医生在 RCR 情况下进行 DCE 的情况正在减少,但仍有很多人在进行 DCE。(外科骨科进展杂志》33(2):077-079,2024 年)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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