手术固定后跟腱再次断裂的相关因素。

IF 4.7 2区 医学 Q2 CELL & TISSUE ENGINEERING
Yoon Hyo Choi, Tae Hoon Kwon, Ji Hyun Choi, Hee Seok Han, Kyoung Min Lee
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引用次数: 0

摘要

目的:跟腱再断裂(ATRR)是术后并发症的一个重要风险因素,即使初次手术修复成功。本研究旨在确定手术固定后跟腱再次断裂的相关风险因素:这项回顾性队列研究分析了2008年至2018年期间全国健康索赔数据中的43287名患者,重点关注因原发性跟腱断裂接受手术治疗的患者。短期跟腱断裂指的是在初次手术修复后六周到一年之间需要进行翻修手术的病例,同时忽略了同时发生感染或皮肤坏死的病例。我们系统地收集了年龄、性别、跟腱病变和合并症等变量进行分析。我们采用了多变量逐步逻辑回归法来确定与短期跟腱再损伤相关的潜在风险因素:从2009年到2018年,跟腱手术的短期再断裂率为2.14%。风险因素包括男性、年龄较小、跟腱病变:这项大规模的大数据研究再次证实了已知的短期跟腱再断裂的风险因素,特别是男性和年轻。此外,这项研究还发现,即使在初次手术固定后,跟腱病史也是跟腱再断裂的独立风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with Achilles tendon re-rupture following operative fixation.

Aims: Achilles tendon re-rupture (ATRR) poses a significant risk of postoperative complication, even after a successful initial surgical repair. This study aimed to identify risk factors associated with Achilles tendon re-rupture following operative fixation.

Methods: This retrospective cohort study analyzed a total of 43,287 patients from national health claims data spanning 2008 to 2018, focusing on patients who underwent surgical treatment for primary Achilles tendon rupture. Short-term ATRR was defined as cases that required revision surgery occurring between six weeks and one year after the initial surgical repair, while omitting cases with simultaneous infection or skin necrosis. Variables such as age, sex, the presence of Achilles tendinopathy, and comorbidities were systematically collected for the analysis. We employed multivariate stepwise logistic regression to identify potential risk factors associated with short-term ATRR.

Results: From 2009 to 2018, the short-term re-rupture rate for Achilles tendon surgeries was 2.14%. Risk factors included male sex, younger age, and the presence of Achilles tendinopathy.

Conclusion: This large-scale, big-data study reaffirmed known risk factors for short-term Achilles tendon re-rupture, specifically identifying male sex and younger age. Moreover, this study discovered that a prior history of Achilles tendinopathy emerges as an independent risk factor for re-rupture, even following initial operative fixation.

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来源期刊
Bone & Joint Research
Bone & Joint Research CELL & TISSUE ENGINEERING-ORTHOPEDICS
CiteScore
7.40
自引率
23.90%
发文量
156
审稿时长
12 weeks
期刊介绍: The gold open access journal for the musculoskeletal sciences. Included in PubMed and available in PubMed Central.
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