PDF(Pubmed)
Abstract：
UNASSIGNED: Achilles tendon rupture is one of the most common musculoskeletal injuries and accounts to 20 % of all large tendon ruptures The surgical choice of a procedure might play a role in the incidence of postoperative complications. This study aimed to estimate and compare the incidence of complications occurring within a 30-day window following primary surgical repair of the Achilles tendon with or without a graft.
UNASSIGNED: A retrospective cohort study was conducted using the ACS NSQIP database from 2005 to 2021. Patients were divided into 2 cohorts (primary surgical repair with and without graft).
UNASSIGNED: A total of 7010 patients were included in the analysis. Among the graft group, 10.9 % reported any complication which was double the percentage of complications in the no graft group. Only 3.8 % of the no graft patients had reported systemic complications compared to 8.3 % in the graft group. Chronic steroid use was found to be an effect modifier in the incidence of any complications after primary surgical repair when comparing graft versus no graft (P-value 0.016).
UNASSIGNED: Surgical repairwith tendon graft develops more complications than repairing without graft. Therefore, it is imperative for physicians to strive for an early diagnosis, as any delay in treatment significantly raises the likelihood of complications.
UNASSIGNED: III, Retrospective Cohort Study.
UNASSIGNED: A retrospective cohort study was conducted using the ACS NSQIP database from 2005 to 2021. Patients were divided into 2 cohorts (primary surgical repair with and without graft).
UNASSIGNED: A total of 7010 patients were included in the analysis. Among the graft group, 10.9 % reported any complication which was double the percentage of complications in the no graft group. Only 3.8 % of the no graft patients had reported systemic complications compared to 8.3 % in the graft group. Chronic steroid use was found to be an effect modifier in the incidence of any complications after primary surgical repair when comparing graft versus no graft (P-value 0.016).
UNASSIGNED: Surgical repairwith tendon graft develops more complications than repairing without graft. Therefore, it is imperative for physicians to strive for an early diagnosis, as any delay in treatment significantly raises the likelihood of complications.
UNASSIGNED: III, Retrospective Cohort Study.
摘要：
■跟腱断裂是最常见的肌肉骨骼损伤之一，占所有大型肌腱断裂的20％。手术的选择可能在术后并发症的发生率中起作用。这项研究旨在评估和比较有或没有移植物的跟腱初次手术修复后30天内发生的并发症的发生率。
■从2005年到2021年，使用ACSNSQIP数据库进行了一项回顾性队列研究。患者分为2组（有和没有移植物的主要手术修复）。
■总共7010名患者被纳入分析。在移植组中，10.9％的人报告了任何并发症，是无移植组并发症百分比的两倍。只有3.8%的无移植患者报告了全身并发症，而移植组则为8.3%。当比较移植物与无移植物时，发现长期使用类固醇是初次手术修复后任何并发症发生率的效果调节剂（P值0.016）。
■使用肌腱移植的手术修复比不使用肌腱移植的手术修复产生更多的并发症。因此,医生必须争取早期诊断，因为任何延迟治疗都会显著增加并发症的可能性。
■III,回顾性队列研究。
■从2005年到2021年，使用ACSNSQIP数据库进行了一项回顾性队列研究。患者分为2组（有和没有移植物的主要手术修复）。
■总共7010名患者被纳入分析。在移植组中，10.9％的人报告了任何并发症，是无移植组并发症百分比的两倍。只有3.8%的无移植患者报告了全身并发症，而移植组则为8.3%。当比较移植物与无移植物时，发现长期使用类固醇是初次手术修复后任何并发症发生率的效果调节剂（P值0.016）。
■使用肌腱移植的手术修复比不使用肌腱移植的手术修复产生更多的并发症。因此,医生必须争取早期诊断，因为任何延迟治疗都会显著增加并发症的可能性。
■III,回顾性队列研究。
