常规的术后射线图不会影响在手腕关节整形术后的决策
Anthony V Paterno1, Karly Lorbeer1, J Megan M Patterson1
1University of North Carolina Department of Orthopaedics, NC.
Journal of hand surgery global online
|June 16, 2023
概括
在 carpometacarpal (CMC) 关节整形术后的常规术后放射图不会改变患者的管理或需要进一步的手术. 这些发现表明,在CMC关节整形术后,常规X射线可能是不必要的.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 手术手术手术手术手术
背景情况:
- 第一个 carpometacarpal (CMC) 关节关节炎是普遍存在的,影响了成年人口的很大一部分.
- 第一个CMC关节的关节整形术是一种常见的治疗方法,尽管有潜在的放射性沉降,但通常会产生良好的长期结果.
- 目前的术后护理方案缺乏标准化,特别是关于常规术后放射图的必要性.
研究的目的:
- 评估第一次CMC关节关节整形术后常规术后射线图的临床效用和影响.
- 为了确定常规的放射成像是否会影响后续的患者管理或手术干预.
主要方法:
- 在2014年至2019年期间进行的155次首次CMC关节关节置换术的回顾性审查.
- 排除同时进行形切除或元手腕手术的患者.
- 分析人口统计数据,术后射线图的频率和时间 (长达6个月),以手术作为主要结果.
主要成果:
- 总共分析了来自129名患者的155个CMC关节.
- 大多数患者 (39.4%) 没有手术后的X射线图; 其他人有一到四个系列.
- 只有2.6%的患者因与放射性发现无关的原因需要额外的手术,并且没有任何由放射图驱动的修订.
结论:
- 在CMC关节关节整形术后的例行术后放射图似乎没有改变患者的治疗方法或导致进一步的外科手术程序.
- 这些发现支持考虑在手术后期对CMC关节形成术患者的常规放射监测.
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