外科医生如何决定何时用手术或非手术管理来治疗近腰骨折?
Logan A Reed1, Kevin A Hao2, David A Patch3
1Department of Orthopaedic Surgery, University of Alabama, 510 20th St South, Faculty Office Tower, Birmingham, AL, 35294, USA. loganreed1994@gmail.com.
概括
外科医生考虑患者的并发病,年龄和骨折位移,在决定近腰骨折 (PHF) 的手术或非手术治疗时. 创伤外科医生更有可能在70岁以上的患者中非手术地管理PHF.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 肩部外科手术 肩部外科手术
背景情况:
- 靠近骨骨折 (PHF) 很常见,特别是在老年人中.
- 对于PHF的治疗决策涉及影响手术结果的复杂因素.
- 了解外科医生的决策对于优化患者护理至关重要.
研究的目的:
- 确定影响PHF运营与非运营管理决策的因素.
- 评估奖学金培训对这些治疗选择的影响.
- 为了比较创伤和肩/肘部外科医生之间的决策.
主要方法:
- 电子调查分发给了骨科创伤协会和美国肩膀和肘部外科医生协会的成员.
- 该调查评估了手术和非手术PHF管理的患者选择标准.
- 用描述性统计数据来分析调查答案.
主要成果:
- 250名受过奖学金培训的整形外科医生回应了.
- 创伤外科医生倾向于在70岁以上的患者中非手术治疗移位PHF.
- 对于骨折脱位,有限的亚冠骨和关节内头部裂,最好采用手术管理.
- 创伤和肩膀外科医生认为CT扫描对于管理决策至关重要.
结论:
- 外科医生对PHF的决定主要基于患者的并发病,年龄和骨折位移.
- 与肩部外科医生相比,创伤外科医生在老年患者 (>70岁) 中更倾向于非手术治疗.
- 奖学金培训可能会影响近腰骨骨折的管理策略.
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