近期肩袖修复术中同期切除锁骨远端的趋势。
Recent Trends in Concomitant Distal Clavicle Excision During Rotator Cuff Repair.
机构信息
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York; Northwell Health-Huntington Hospital, Department of Orthopaedic Surgery, Huntington, New York.
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York; Northwell Health-Huntington Hospital, Department of Orthopaedic Surgery, Huntington, New York; Northwell Health-Long Island Jewish Valley Stream, Department of Orthopaedic Surgery, Valley Stream, New York.
出版信息
J Surg Orthop Adv. 2024 Summer;33(2):77-79.
The purpose of this study is to evaluate trends in distal clavicle excision (DCE) in association with arthroscopic rotator cuff repair (RCR) from 2010 to 2019. The National Surgical Quality Improvement Program database was queried to identify all patients who underwent arthroscopic RCR from January 1, 2010 to December 31, 2019, and was further subdivided into procedure type: (1) isolated RCR; and (2) RCR with arthroscopic or open DCE. The proportion of each surgery type, by year and within groups, was calculated. The Cochran-Armitage test for trend was used to analyze yearly proportions of RCR with concomitant DCE. In a sample size of 19,163 patients, the proportion of RCR with DCE decreased from 51.2% to 40.8% (r = -0.830; p = 0.003). Although the results of this study suggest that surgeons are performing fewer DCEs in the setting of RCR, many DCEs are still being done. (Journal of Surgical Orthopaedic Advances 33(2):077-079, 2024).
本研究旨在评估 2010 年至 2019 年间与关节镜肩袖修复术（RCR）相关的远端锁骨切除（DCE）的趋势。通过国家手术质量改进计划数据库，检索了 2010 年 1 月 1 日至 2019 年 12 月 31 日期间接受关节镜 RCR 的所有患者，并进一步分为手术类型：（1）单纯 RCR；（2）关节镜或开放性 DCE 联合 RCR。计算了每种手术类型的年度比例，并在各组内进行了计算。采用 Cochran-Armitage 趋势检验分析了 RCR 伴发 DCE 的年度比例。在 19163 名患者的样本量中，RCR 联合 DCE 的比例从 51.2%降至 40.8%（r=-0.830；p=0.003）。尽管本研究结果表明，在 RCR 中，外科医生进行的 DCE 越来越少，但仍有许多 DCE 在进行。（《外科矫形进展杂志》33(2):077-079, 2024）。
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