封闭式缩减和外部固定的临床结果,用于隔离的第二个甲手骨底部骨折-脱位
Zhi-Yuan Yao1, Shu-Yao Fan2, Jie-Feng Huang1
1Department of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou, China.
Orthopaedic surgery
|May 31, 2023
概括
封闭缩减和外部固定 (CREF) 为罕见的第二手腕骨底骨折脱位提供了安全有效的治疗方法. 这种方法提供了良好的功能恢复与最小的并发症,使其成为一个可行的选择,为患者.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 创伤外科 手术 创伤外科
背景情况:
- 孤立的第二手指骨基骨折-脱位是不常见的伤害.
- 传统的治疗方法,如石膏/石板缺乏稳定性,而内部固定 (ORIF) 的开放性减少可能会导致周围组织损伤.
研究的目的:
- 评估封闭缩减和外部固定 (CREF) 的临床结果,用于治疗成年人隔离的第二手指骨底骨折脱位症.
主要方法:
- 在2010年至2020年期间,对10名成年患者进行了CREF治疗,以治疗隔离的第二次甲手骨基骨折-脱位症.
- 术后评估包括放射性评估,握力/刺痛强度,VAS疼痛评分和功能评分 (TAM,TAF,Cooney,SHFT,QuickDASH).
- 配对的t测试比较受伤和健康的手的结果,随访时间中位数为29.5个月.
主要成果:
- 在受伤和健康的双手之间,握力/扣力或关节曲 (PIPJ,DIPJ) 没有显著差异.
- 受伤的手表现出明显较低的总活跃运动 (TAM) 和总活跃曲 (TAF) 分数 (p<0.05).
- 受伤的手有较低的Cooney和SHFT分数,以及较高的QuickDASH分数 (p<0.05),其中有一例无症状创伤性关节炎.
结论:
- 据CREF证明,对于孤立的第二手腕骨底骨折移位,具有令人满意的治愈效果和良好的功能恢复.
- 该程序被认为是安全和有效的,术后并发症最小.
- 对于这种罕见的伤害模式,CREF提出了一种可行的治疗选择,具有积极的临床结果.
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