微创跟腱修复术与开放式跟腱修复术的翻修手术和伤口并发症:116 例患者的回顾性比较研究。

Nicholas C Danford, Christina E Freibott, Seth C Shoap, Hans Polzer, J Turner Vosseller
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引用次数: 0

摘要

本研究分析了跟腱断裂患者接受微创修复术或开放式标准修复术后的翻修手术率和伤口并发症。研究人员对采用开放式或微创技术进行跟腱修复的患者进行了回顾性病历审查。主要结果是翻修手术率和伤口并发症率。29名患者(25.0%)采用了微创方法,87名患者(75.0%)采用了开放方法。开放手术组平均每名患者多做了 0.16 次手术,而微创手术组则没有(P = 0.003)。共有 13 例伤口相关并发症,全部发生在开放手术组(p = 0.06)。采用开放式跟腱修复术治疗的患者的翻修手术率明显高于采用微创技术治疗的患者。患者可能会从微创技术而非开放技术中获益。(外科骨科进展杂志》(Journal of Surgical Orthopaedic Advances 32(3):173-176, 2023)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Revision Surgery and Wound Complications with Minimally Invasive Compared to Open Achilles Tendon Repair: A Retrospective Comparative Study of 116 Patients.

The current study analyzed revision surgery rate and wound complications of patients with Achilles tendon ruptures that received either minimally invasive repair or open standard repair. A retrospective chart review of patients that had Achilles tendon repair performed using either an open or minimally invasive technique was conducted. Primary outcomes were revision surgery rate and wound complication rate. Twenty-nine (25.0%) patients had the minimally invasive approach, while 87 (75.0%) had the open approach. On average there were 0.16 additional surgeries per patient in the open group versus none in the minimally invasive group (p = 0.003). There were 13 wound-related complications, all of which were in the open group (p = 0.06). Revision surgery rates are significantly higher for patients treated with open Achilles repair versus those treated with a minimally invasive technique. Patients may benefit from a minimally invasive as opposed to open technique. (Journal of Surgical Orthopaedic Advances 32(3):173-176, 2023).

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