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老年患者大腿半身骨折中角稳定锁定系统的结果:一个多中心比较研究

Kyu Tae Hwang¹, Incheol Kook¹, Jae-Ho Lee²

¹Department of Orthopaedic Surgery, Hanyang University Hospital, Seoul, Korea.

Clinics in orthopedic surgery

|June 5, 2023

概括

角稳定锁定系统 (ASLS) 在患有大腿骨骨折的老年患者中没有显著改善骨折愈合. 手术技术和骨折特征比植入物选择更有影响力.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
老年医学老年医学

背景情况:

角稳定锁定系统 (ASLS) 旨在增强内螺钉 (IM) 中远端互锁螺丝的稳定性.
在老年人群中,ASLS对治疗股骨隔膜骨折的影响仍在研究中.

研究的目的:

为了比较IM钉用ASLS螺丝与传统互锁螺丝在老年患者与大腿骨骨折的骨架骨折的放射性结果.

主要方法:

一个多中心的回顾性审查包括129名患者 (年龄≥65岁) 患有大腿半身骨折 (AO/OTA 32).
收集的数据包括人口统计,骨折部位和类型以及AO/OTA分类.
评估的放射性结果包括减少状态,结合率,结合时间和重新操作率.

主要成果:

91.5%的患者实现了结合,平均结合时间为31.8周;ASLS在50.3%的病例中使用.
在ASLS和传统螺丝之间没有观察到统计学上显著的联合率,联合时间或重新操作率的差异.
在ASLS组中,度更大,但在骨折部位和类型中,结果是相似的,除了创伤性下骨折,显示与ASLS的结合速度更快.

结论:

在患有大腿半身骨折的老年患者中,ASLS没有显著影响骨折愈合.
手术技术和骨折特征,如缩小隙和非典型的股骨骨折,对于愈合似乎比植入物选择更为关键.

关键词:

角稳定锁定系统角稳定锁定系统不典型的骨折不典型的骨折股骨轴的股骨轴是如何形成的内指甲的指甲.创伤性骨折是一个创伤.

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