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髌骨骨折手术后高的运动回归率。

High return to sports rates after operative treatment of patella fractures.

机构信息

Department of Trauma Surgery, Klinikum Rechts Der Isar, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.

Department of Trauma Surgery, AUVA Trauma Center Meidling, Kundratstrasse 37, 1120, Vienna, Austria.

出版信息

Eur J Med Res. 2023 Sep 22;28(1):366. doi: 10.1186/s40001-023-01359-1.

DOI:10.1186/s40001-023-01359-1
PMID:37736742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10514948/
Abstract

BACKGROUND

Patella fractures are relatively rare fractures and only little is known about the postoperative return to sports after patella fractures.

METHODS

This retrospective study presents information on functional outcome after operative treatment of patella fractures as well as time until return to sports and patients' complaints after open-reduction internal-fixation (ORIF) of patella fractures.

RESULTS

Overall, 39 patients after ORIF of patella fractures were evaluated at our Level-I trauma center with a mean follow-up of 42 months. The mean time until return to sports was 7 ± 3.9 months. No significant difference was found for functional outcome with respect to body mass index (BMI) or age. Fracture consolidation was accomplished after a mean of 6.9 ± 2.9 months besides a relatively low complication rate of 5.1% (n = 2).

CONCLUSION

The results demonstrate a high return to sports rate of 90.3%. However, only 51.6% were able to perform sports on their pre-injury level or above. Trial Registration The study was retrospectively registered at DRKS (No: DRKS00031146).

摘要

背景

髌骨骨折相对少见,对于髌骨骨折后的术后重返运动知之甚少。

方法

本回顾性研究介绍了切开复位内固定(ORIF)治疗髌骨骨折后的功能结果以及重返运动的时间和患者的抱怨。

结果

在我们的一级创伤中心,共有 39 例接受 ORIF 治疗的髌骨骨折患者接受了评估,平均随访时间为 42 个月。重返运动的平均时间为 7±3.9 个月。功能结果与 BMI 或年龄无关。骨折愈合平均需要 6.9±2.9 个月,并发症发生率相对较低,为 5.1%(n=2)。

结论

结果表明,90.3%的患者能够重返运动,但只有 51.6%的患者能够恢复到受伤前或更高水平的运动。

试验注册

该研究在 DRKS 进行了回顾性注册(编号:DRKS00031146)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/60d540b2d5d8/40001_2023_1359_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/ff70c3ca75bf/40001_2023_1359_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/91ad71839906/40001_2023_1359_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/a016fb2021ed/40001_2023_1359_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/60d540b2d5d8/40001_2023_1359_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/ff70c3ca75bf/40001_2023_1359_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/91ad71839906/40001_2023_1359_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/a016fb2021ed/40001_2023_1359_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/10514948/60d540b2d5d8/40001_2023_1359_Fig4_HTML.jpg

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Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register.髌骨骨折的流行病学、分类和治疗:来自瑞典骨折登记处的 3194 例骨折的观察性研究。
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What's new in the management of patella fractures?
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Patellar fracture among elite-level European soccer players: 4-year case-control cohort analysis of return to play, re-injury, and player performance.精英级别的欧洲足球运动员的髌骨骨折:4 年病例对照队列研究重返赛场、再次受伤和球员表现。
Phys Sportsmed. 2023 Jun;51(3):275-284. doi: 10.1080/00913847.2022.2077087. Epub 2022 May 20.
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