老年人背部移位远半径骨折的保守管理与飞行接:随机对照试验
Saeed Ahmed Shaikh1, Muhammad Tahir2, Nadeem Ahmed3
1Dr. Saeed A. Shaikh, FCPS. Department of Orthopaedics, Surgical Building, Jinnah Postgraduate Medical Centre, Rafiqui Shaheed Road, Karachi, Pakistan.
Pakistan journal of medical sciences
|May 30, 2023
概括
对于患有远端半径骨折 (DRF) 的老年患者来说,石膏造和飞行造都提供了类似的临床结果. 然而,造导致了更多的并发症和较差的放射性结果.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
背景情况:
- 距离半径骨折 (DRF) 在老年人群中很常见.
- 在这个人口群体中,DRF的治疗选择包括非手术管理 (石膏造) 和手术干预 (volar plating).
- 最佳的治疗策略需要对临床和放射学结果进行比较.
研究的目的:
- 为了比较老年患者的临床和放射性结局,用于偏半径骨折 (DRF) 的石膏造固定和飞行.
- 评估患者的满意度和与每种治疗方式相关的并发症率.
主要方法:
- 一项随机试验,涉及60-75岁的患者,患有孤立的,封闭的,背部位移的DRF.
- 患者被随机分配,接受石膏造或飞涂层.
- 评估的结果包括患者额定手腕评价得分,运动范围,握力,梅奥手腕得分,快速残疾手臂,肩膀,手尺度,SF-12满意度问卷和并发症记录.
主要成果:
- 在治疗后6个月和12个月之间,在造固定和飞行嵌之间没有观察到临床结果的显著差异.
- 放射性参数和并发症的发生率在石膏造固定组显著更高.
- 两个治疗组之间的患者满意度是可比的.
结论:
- 飞涂层和造固定都同样有效地实现了老年人DRF的令人满意的患者报告和临床结果.
- 与造相比,伏拉可能在放射性参数和降低并发症率方面具有优势.
- 治疗决策应考虑个体患者的因素以及每个方法的潜在风险和益处.
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