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分析各种因素之间的关系及其对半月板损伤手术成功率的影响:一项前瞻性横断面研究。

Analyzing the Relationship Between Various Factors and Their Influence on the Success Rates of Meniscal Injury Procedures: A Prospective Cross-Sectional Study.

作者信息

Mohammed Khalil Ramah Salah, Mohamed Ahmed, Ahmed Mohammed Monzir Adam, Elsiddig Maysara, Mohamed Ahmed Rabah Abeer Eltahir, Abdallah Reyad, Sovla Hadeel M, Mohamed Hussein Sara Hussein

机构信息

Orthopedics and Trauma, Gezira Traumatology Center, Jeddah, SAU.

Trauma and Orthopedics, Gezira Traumatology Center, Wad Madani, SDN.

出版信息

Cureus. 2025 Jan 3;17(1):e76877. doi: 10.7759/cureus.76877. eCollection 2025 Jan.


DOI:10.7759/cureus.76877
PMID:39906470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11791123/
Abstract

BACKGROUND: Meniscal injuries pose a significant orthopedic challenge, demanding a thorough understanding of demographic and injury-related factors for successful treatment. The importance of age, body mass index (BMI), time from trauma to surgery, injury causes, patient occupation, and the presence of anterior cruciate ligament (ACL) injury in influencing postoperative outcomes prompted this prospective cross-sectional clinical study. METHODS: Conducted from November 2022 to July 2023 with 30 patients, this study utilized rigorous methodologies, employing both analysis of variance and Spearman's correlation analyses. The aim was to comprehensively assess the relationships among these factors and postoperative results in meniscal surgery patients. RESULTS: The study found that early surgical intervention significantly improved outcomes for meniscal injuries, with patients operated on within two months achieving 100% excellent and good results, compared to 50% for those treated after six months. Younger age, lower BMI, and sports-related injuries were associated with better postoperative Lysholm scores, while higher BMI and delayed surgery correlated with poorer outcomes. Patients with concurrent ACL injuries had a 95.4% rate of excellent and good results, compared to 50% for those with intact ACLs. CONCLUSION: This study underscores the pivotal role of age, BMI, and ACL injury considerations in shaping effective treatment strategies for meniscal injuries. The nuanced insights gained from the analysis emphasize the critical importance of early surgical intervention, particularly in cases involving ACL injuries, to optimize postoperative outcomes.

摘要

背景:半月板损伤给骨科带来了重大挑战,需要全面了解人口统计学和损伤相关因素才能成功治疗。年龄、体重指数(BMI)、受伤至手术的时间、损伤原因、患者职业以及前交叉韧带(ACL)损伤的存在对术后结果的影响,促使开展了这项前瞻性横断面临床研究。 方法:本研究于2022年11月至2023年7月对30例患者进行,采用了严格的方法,运用方差分析和Spearman相关性分析。目的是全面评估这些因素与半月板手术患者术后结果之间的关系。 结果:研究发现,早期手术干预显著改善了半月板损伤的治疗效果,两个月内接受手术的患者优良率达100%,而六个月后接受治疗的患者优良率为50%。年龄较小、BMI较低以及与运动相关的损伤与术后Lysholm评分较好相关,而BMI较高和手术延迟则与较差的结果相关。并发ACL损伤的患者优良率为95.4%,而ACL完整的患者优良率为50%。 结论:本研究强调了年龄、BMI和ACL损伤因素在制定半月板损伤有效治疗策略中的关键作用。分析得出的细微见解强调了早期手术干预的至关重要性,特别是在涉及ACL损伤的病例中,以优化术后结果。

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Analyzing the Relationship Between Various Factors and Their Influence on the Success Rates of Meniscal Injury Procedures: A Prospective Cross-Sectional Study.

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本文引用的文献

[1]
Prognostic Factors of Mid- to Long-term Clinical Outcomes after Arthroscopic Partial Meniscectomy for Medial Meniscal Tears.

Clin Orthop Surg. 2022-6

[2]
Which factors are associated with the prevalence of meniscal repair?

BMC Musculoskelet Disord. 2021-3-22

[3]
The relationship between ACL reconstruction and meniscal repair: quality of life, sports return, and meniscal failure rate-2- to 12-year follow-up.

J Orthop Surg Res. 2020-8-27

[4]
Treatment Outcomes of Meniscal Root Tears: A Systematic Review.

Arthrosc Sports Med Rehabil. 2020-4-28

[5]
Medial Versus Lateral Meniscus Root Tears: Is There a Difference in Injury Presentation, Treatment Decisions, and Surgical Repair Outcomes?

Arthroscopy. 2020-1-20

[6]
Factors Predicting Failure Rates and Patient-Reported Outcome Measures After Arthroscopic Meniscal Repair.

Arthroscopy. 2019-11

[7]
Outcomes More Than 2 Years After Meniscal Repair for Radial/Flap Tears of the Posterior Lateral Meniscus Combined With Anterior Cruciate Ligament Reconstruction.

Am J Sports Med. 2019-8-30

[8]
Factors Associated With Clinically Significant Patient-Reported Outcomes After Primary Arthroscopic Partial Meniscectomy.

Arthroscopy. 2019-4-15

[9]
Outcomes After the Operative Treatment of Bucket-Handle Meniscal Tears in Children and Adolescents.

Orthop J Sports Med. 2019-1-15

[10]
Delayed ACL Reconstruction in Patients ≥40 Years of Age Is Associated With Increased Risk of Medial Meniscal Injury at 1 Year.

Am J Sports Med. 2019-1-9

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