• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Factors Affecting Return to Baseline Function at 6 months Following Anterior Shoulder Instability Surgery
【24h】

Factors Affecting Return to Baseline Function at 6 months Following Anterior Shoulder Instability Surgery

机译：前肩不稳定手术后6个月影响基线功能恢复的因素

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: Pre-operative and surgical factors related to early return to baseline function after anterior shoulder instability surgery are not clear. This study was designed to determine the pre-operative and operative factors affecting return to baseline function at 6 months following anterior shoulder instability surgery. Identifying these factors will help surgeons establish expectations for functional return post-operatively. Methods: The Multicenter Orthopaedic Outcomes Network (MOON) shoulder group enrolled patients undergoing surgery for shoulder instability from 16 sites throughout the United States. Initial demographic data and validated, patient-oriented outcomes questionnaires were collected along with the physicians documented initial physical exam, treatment, surgical findings and surgical techniques used at the time of surgery. At the 6-month follow up visit, range of motion (ROM) and strength measurement of the operative shoulder were collected and compared to pre-operative measurement. Return to baseline was defined as return to within -10° ROM and full strength at the 6 month physical exam. Continuous and categorical data were analyzed using student t-tests and chi-square tests, respectively. The Kruskal-Wallis/Wilcoxin tests were used to compare groups that were not normally distributed. Factors reaching significance in a univariate analysis were then applied in a multivariable model. Significance was set a p<0.05. Results: A total of 338 patients with history of surgical intervention for anterior instability of the shoulder were identified. 278 patients had complete pre- and post-surgical range of motion and strength measurements. 138 (50%) patients (139 shoulders) returned to baseline and 133 (50%) patients did not return to baseline. Univariate analysis identified age (p=0.0013), Beighton score (p=0.0004), SF-36 general health (p=0.0017), WOSI (p=0.0250), and duration of symptoms (p=0.0046) as significant factors. When these factors were placed into a multivariate model, significant differences were identified in age (p=0.0316), SF-36 General health (p=0.0118), and Beighton score (p=0.0016). Conclusion: Older age, perception of general health and generalized joint laxity are associated with failure to return to baseline function at 6 months after anterior shoulder instability surgery. Duration of symptoms and number of dislocation events did not reach significance in the multivariate model, but trended toward likelihood of failure to return to baseline findings. Moreover, open vs. arthroscopic surgery and number of suture anchors were not significant, suggesting that pre-operative condition and not surgical factors predict return to baseline in the short-term.
机译：目的：前肩不稳定手术后与早期恢复基线功能有关的术前和手术因素尚不清楚。本研究旨在确定影响前肩不稳定手术后6个月恢复基线功能的术前和手术因素。识别这些因素将有助于外科医生在术后建立对功能恢复的期望。方法：多中心骨科手术结局网络（MOON）肩组从美国16个地方招募了因肩关节不稳而接受手术治疗的患者。收集了最初的人口统计学数据和经过验证的，以患者为中心的结果调查表，并与医生记录了最初的体检，治疗，手术结果和手术时使用的手术技术。在6个月的随访中，收集了手术肩膀的运动范围（ROM）和强度测量，并与术前测量进行了比较。恢复到基线的定义是恢复到-10°ROM范围内，并在6个月的体格检查时达到全强度。连续数据和分类数据分别使用学生t检验和卡方检验进行了分析。使用Kruskal-Wallis / Wilcoxin检验来比较非正态分布的组。然后在多变量模型中应用在单变量分析中达到显着性的因素。显着性设定为p ＜0.05。结果：总共鉴定了338例因肩关节前部不稳定而接受外科手术治疗的患者。 278例患者在手术前后均完成了运动和强度测量。 138（50％）名患者（139肩）恢复到基线，而133（50％）名患者未恢复基线。单因素分析将年龄（p = 0.0013），Beighton评分（p = 0.0004），SF-36总体健康状况（p = 0.0017），WOSI（p = 0.0250）和症状持续时间（p = 0.0046）确定为重要因素。将这些因素放入多变量模型后，可以发现年龄（p = 0.0316），SF-36总体健康状况（p = 0.0118）和Beighton评分（p = 0.0016）有显着差异。结论：年龄较大，对整体健康的认识和广泛的关节松弛与前肩不稳定手术后6个月未能恢复基线功能有关。症状的持续时间和脱位事件的数量在多变量模型中未达到显着水平，但趋向于无法返回到基线结果的可能性。此外，开放式与关节镜手术以及缝合锚的数量均不显着，这表明术前状况而非手术因素可预测短期内会恢复基线。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号