用关节板的板板治疗心脏骨过程骨折,并与骨关节脱结合使用骨关节板
Chun-Xiao Ye1, Ying-Bin Guo1, You-Hui Zheng1
1Upper Extremity Service, Quanzhou Orthopedic-Traumatological Hospital, Quanzhou, Fujian, China.
Journal of shoulder and elbow surgery
|June 1, 2023
概括
带有心肌骨过程 (CP) 骨折的脊髓关节 (AC) 脱位需要仔细的诊断. 关节板固定是一种可行的治疗方法,在这些复杂的肩部损伤中产生良好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 运动医学 运动医学
背景情况:
- 脊髓关节 (AC) 脱位往往与心脏关节 (CP) 骨折同时发生,但损伤机制和最佳治疗仍然不清楚.
- 本研究解决了诊断挑战,并评估了AC脱位和CP骨折的操作管理.
研究的目的:
- 评估联合AC脱位和CP骨折的诊断考虑因素.
- 评估关节板固定在治疗这些联合伤害方面的有效性.
主要方法:
- 在2012年至2021年期间,有18名患有AC脱位和CP骨折的患者接受了关节板固定.
- 患者被依据Eyres,Ogawa和Rockwood等级系统进行分类.
- 结果被评估使用常数得分和视觉模拟量表,并对并发症和骨折愈合进行了随访.
主要成果:
- 随访时间平均为49个月. 九名患者发生了骨骨解,三名患者经历了CP骨折.
- 没有患者报告肩部疼痛,感染,运动限制或AC脱位复发.
- 观察到卓越的功能结果,平均恒定得分为99.
结论:
- 在AC脱位病例中应怀疑CP骨折,以防止错过诊断.
- 关节板固定是一种可行的和有效的手术选择,用于联合AC脱位和CP骨折.
- 脑脊椎骨折的愈合似乎受到骨折形态的影响.
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