Parisien Robert L, Trofa David P, Kang H P, Swindell Hasani W, Trasolini Nicholas, Li Xinning, Ahmad Christopher S
Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, U.S.A.
Arthrosc Sports Med Rehabil. 2020 Jul 16;2(4):e329-e332. doi: 10.1016/j.asmr.2020.04.010. eCollection 2020 Aug.
To determine the risk of postoperative humeral fracture following tenotomy, open tenodesis and arthroscopic tenodesis of the long head of the biceps brachii.
A retrospective review of deidentified patient data from the Medicare Standard Analytic File using the PearlDiver software was conducted to identify procedures performed between 2005 and 2014. Groups were matched by age, gender, region, and medical comorbidities.
We evaluated 157,163 patients who had undergone arthroscopic or open tenodesis or tenotomy of the long head of the biceps brachii over a 10-year period (2005-2014), and we identified 2,196 postoperative humeral fractures (1.4%). Matched subgroup analysis consisting of 44,292 patients demonstrated a statistically significant increase in humeral fracture risk in open (280; 1.26%) compared to arthroscopic tenodesis (232; 1.04%) with a value of 0.03 and an odds ratio of 1.21. The majority of fractures were sustained by patients 65-74 years of age.
In this study, an increased risk of postoperative humeral fracture was associated with open tenodesis of the LHB.
III, Retrospective Comparative Trial.
确定肱二头肌长头腱切断术、开放性腱固定术和关节镜下腱固定术后肱骨骨折的风险。
使用PearlDiver软件对医疗保险标准分析文件中去识别化的患者数据进行回顾性研究，以确定2005年至2014年间进行的手术。根据年龄、性别、地区和医疗合并症对各组进行匹配。
我们评估了157163例在10年期间（2005 - 2014年）接受肱二头肌长头腱关节镜或开放性腱固定术或腱切断术的患者，发现2196例术后肱骨骨折（1.4%）。由44292例患者组成的匹配亚组分析显示，开放性腱固定术（280例；1.26%）与关节镜下腱固定术（232例；1.04%）相比，肱骨骨折风险有统计学意义的增加，P值为0.03，比值比为1.21。大多数骨折发生在65 - 74岁的患者中。
在本研究中，肱骨骨折术后风险增加与肱二头肌长头开放性腱固定术有关。
III，回顾性比较试验。
