髋部骨折时的躯干肌肉横截面积及其与术后步态能力恢复的关系:一项多中心、回顾性队列研究。

IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Geriatric Orthopaedic Surgery & Rehabilitation Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI:10.1177/21514593241308536
Kengo Kawanishi, Daisuke Fukuda, Masahiro Tsutsumi, Toshinori Miyashita, Naoya Katayama, Masaki Yokomori, Shinsuke Matsuzaki, Shintarou Kudo
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引用次数: 0

摘要

本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trunk Muscle Cross-Sectional Areas at Hip Fractures and Their Association With Recovery of Postoperative Gait Ability: A Multicenter, Retrospective Cohort Study.

Purpose: To determine the relationship between trunk muscle cross-sectional area (CSA) measured using trunk computed tomography at the time of injury and gait ability at discharge.

Methods: This multicenter retrospective cohort study was performed in comprehensive rehabilitation units of four hospitals in Japan. The study included 442 patients with hip fractures who underwent surgery (bipolar hip arthroplasty or open reduction and internal fixation) and were hospitalized for treatment between January 2020 and January 2023. The main outcome measure was bilateral trunk muscle CSA (multifidus, erector spinae, psoas major, lateral abdominal muscles, and rectus abdominis). Participants who met the eligibility criteria were classified into two groups based on gait ability at the time of hospital discharge: those who maintained their gait ability (the maintenance group) and those who declined (the decline group).

Results: The CSA of the multifidus muscle was 0.015 ± 0.005 (CSA/Weight/fourth lumbar vertebrae) and 0.013 ± 0.004 (CSA/Weight/fourth lumbar vertebrae) in the maintenance and decline groups, respectively, being significantly lower in the decline group (P = 0.028, effect size = 0.457). The CSA of the psoas major was 15.3 [13.1⁠-⁠18.0] (CSA/Weight/fourth lumbar vertebrae) and 13.4 [11.9⁠-⁠16.0] (CSA/Weight/fourth lumbar vertebrae) in the maintenance and decline groups, respectively, being significantly lower in the decline group (P = 0.020, effect size = 0.335).

Conclusion: Smaller CSAs of the multifidus and psoas major muscles before injury were associated with decreased gait ability after hip fractures.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
80
审稿时长
9 weeks
期刊介绍: Geriatric Orthopaedic Surgery & Rehabilitation (GOS) is an open access, peer-reviewed journal that provides clinical information concerning musculoskeletal conditions affecting the aging population. GOS focuses on care of geriatric orthopaedic patients and their subsequent rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE).
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