开放性髋外展肌修复术——术后效果显著改善睡眠质量
Open Hip Abductor Repair Hitting the Sack-Abductor Tendon Repair Significantly Improves Sleep Quality.
作者信息
Zimmerer Alexander, Navas Luis, Pfeil Dominic, Hauschild Matthias
机构信息
ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
Department of Orthopaedics and Orthopaedic Surgery, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany.
出版信息
J Clin Med. 2021 Nov 4;10(21):5164. doi: 10.3390/jcm10215164.
PURPOSE
To (1) describe the prevalence of abnormal sleep quality in patients with hip abductor tears (HAT), to (2) determine whether sleep quality improves after open HAT repair, and to (3) to report clinical short-term outcomes in patients undergoing open HAT repair.
METHODS
The data of 28 patients (29 hips) who underwant open HAT repair were prospectively analyzed at midterm follow-up. The Pittsburgh Sleep Quality Index (PSQI), modified Harris Hip Score (mHHS), the University of California, Los Angeles activity scale (UCLA), and Visual Analog Scale (VAS) for pain were determined via questionnaire. Paired t-tests were applied to compare preoperative and post-operative Patient-reported Outcome Measures (PROMs). Logistic regression was performed to determine the association between PSQI improvement achievement and demographic variables (laterality, sex, age, body-mass-index (BMI), and preoperative mHHS). The minimal clinically important difference (MCID) was calculated for the mHHS.
RESULTS
A total of 28 patients were included. Four patients (14.3%) suffered post-operative complications after open HAT repair. The predominance of patients was female (77.4%), with a mean age of 60 ± 13 years. The average follow-up was 30.35 ± 16.62 months. Preoperatively, 27 (96.4%) patients experienced poor sleep quality (PSQI > 5); at follow-up, 7 (25%) patients experienced poor sleep quality. Univariate logistical regression analysis demonstrated no significant association between preoperative demographic data and achieving postoperative PSQI < 5. The MCID of mHHS was calculated to be 12.5. Overall, 90% of patients achieved MCID for mHHS.
CONCLUSION
Preoperative sleep quality was impaired in 96.4% of HAT patients (PSQI > 5). However, these patients showed an improvement in sleep disturbances after open HAT repair in the early postoperative period. Ninety percent of patients showed significant improvements in mHHS and achieved the corresponding MCID.
LEVEL OF EVIDENCE
Case series; Level IV.
目的
（1）描述外展肌撕裂（HAT）患者睡眠质量异常的患病率；（2）确定开放性HAT修复术后睡眠质量是否改善；（3）报告接受开放性HAT修复患者的临床短期结局。
方法
对28例（29髋）接受开放性HAT修复的患者进行中期随访的前瞻性分析。通过问卷调查确定匹兹堡睡眠质量指数（PSQI）、改良Harris髋关节评分（mHHS）、加利福尼亚大学洛杉矶分校活动量表（UCLA）和疼痛视觉模拟量表（VAS）。采用配对t检验比较术前和术后患者报告的结局指标（PROMs）。进行逻辑回归分析以确定PSQI改善与人口统计学变量（侧别、性别、年龄、体重指数（BMI）和术前mHHS）之间的关联。计算mHHS的最小临床重要差异（MCID）。
结果
共纳入28例患者。4例（14.3%）患者在开放性HAT修复术后出现术后并发症。患者以女性为主（77.4%），平均年龄60±13岁。平均随访时间为30.35±16.62个月。术前，27例（96.4%）患者睡眠质量差（PSQI>5）；随访时，7例（25%）患者睡眠质量差。单因素逻辑回归分析显示术前人口统计学数据与术后PSQI<5之间无显著关联。mHHS的MCID计算为12.5。总体而言，90%的患者mHHS达到MCID。
结论
96.4%的HAT患者术前睡眠质量受损（PSQI>5）。然而，这些患者在术后早期开放性HAT修复后睡眠障碍有所改善。90%的患者mHHS有显著改善并达到相应的MCID。
证据水平
病例系列；IV级。
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