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首页> 外文期刊>Archives of orthopaedic and trauma surgery. >Patient-reported quality of life and pain after permissive weight bearing in surgically treated trauma patients with tibial plateau fractures: a retrospective cohort study
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Patient-reported quality of life and pain after permissive weight bearing in surgically treated trauma patients with tibial plateau fractures: a retrospective cohort study

机译：患者报告的生活质量和疼痛后携带胫骨平台骨折的外科创伤患者伴有允许的重量伴患者：回顾性队列研究

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Introduction A Dutch survey among orthopedic surgeons and trauma surgeons showed that almost 90% of the surgeons do not follow protocols regarding the weight bearing aftercare for tibial plateau fractures. Clinical studies comparing permissive weight bearing (PWB) versus restricted weight bearing (RWB) after surgically treated tibial plateau fractures are not available. The aim of this study was to inventory potential differences in quality of life and pain, and number of complications in patients with surgically treated tibial plateau fractures who followed a PWB regime, relative to those that followed a RWB regime. Materials and methods This retrospective cohort study included surgically treated trauma patients with tibial plateau fractures, who underwent rehabilitation according to PWB or RWB between 2005 and 2015. Data such as demographics, patient-reported quality of life and pain, and patient outcome were collected. Results This cohort study included 91 patients with a tibial plateau fracture (31 and 60 patients in the PWB and RWB groups respectively). No significant between-group differences in either age or gender were found. However, a significant difference in fracture type was found between groups, (p = 0.04). No significant differences were found in either patient-reported SF-12 or VAS scores between the PWB group and RWB group. Time to full weight bearing was significantly shorter in the PWB than in the RWB group, i.e., 14.7 versus 20.7 weeks, (p = 0.02). No significant differences were found regarding postoperative complications between the PWB and the RWB groups, i.e., 6.5% versus 10.0%, respectively. Conclusion PWB after surgically treated tibial plateau fractures is safe and is related to a significantly reduced time to full weight bearing with no significant differences in patient-reported quality of life and pain or complication rates.
机译：简介矫形外科医生和创伤外科医生之间的荷兰调查表明，近90％的外科医生不遵循关于胫骨平台骨折的重量后伴随的协议。在手术治疗的胫骨平台骨折后，临床研究比较允许负荷轴承（PWB）与限制负荷（RWB）。本研究的目的是对生活质量和疼痛质量的潜在差异，以及患者手术治疗的胫骨平台骨折的并发症的数量相对于遵循RWB制度的患者。材料和方法本回顾性队列研究包括手术治疗的创伤患者胫骨平台骨折，根据PWB或2015年间接受康复康复。收集人口统计数据，患者报告的生活质量和患者结果等数据。结果该队列研究包括91例胫骨平台骨折（PWB和RWB组中的31例和60名患者）。发现，在任何年龄或性别之间没有显着的组差异。然而，在组之间发现了骨折类型的显着差异（P = 0.04）。在PWB组和RWB组之间的患者报告的SF-12或VAS分数中没有发现显着差异。在PWB中的全重轴承的时间比在RWB组中显着短，即14.7与20.7周（P = 0.02）。发现PWB和RWB基团之间的术后并发症没有显着差异，即分别为6.5％而导致的10.0％。结论外科治疗胫骨平台骨折后PWB是安全的，与患者报告的生活质量和疼痛或并发症率没有显着差异的显着减少的患者的显着差异。

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