相关实验视频
Updated: Jul 25, 2025

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Maintenance of a Lateral Fluid Percussion Injury Device
Published on: April 21, 2023
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儿科肘部脱位和相关骨折
Laura Lewallen1, Marilyn E Elliott2, Amy McIntosh3,4
1Department of Orthopaedic Surgery, University of Chicago Medicine, Chicago, IL 60637, USA.
Children (Basel, Switzerland)
|June 28, 2023
概括
没有骨折的儿科肘部位移往往可以通过闭合缩小来治愈. 然而,近40%的肘部脱位与相关骨折,特别是中间表皮骨骨折,需要手术干预 (ORIF).
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤学 儿科创伤学
- 紧急医疗 紧急医疗
背景情况:
- 急性肘部脱位是常见的儿科伤害.
- 确定需要进行手术干预对于最佳结果至关重要.
研究的目的:
- 为了评估患有急性肘部脱位和相关骨折的儿科患者.
- 在这个群体中确定手术干预的指示.
主要方法:
- 对117名患有急性肘部脱位的儿科患者 (年龄≤18岁) 的回顾性评估.
- 分析伤害类型 (简单的脱位与相关的骨折) 和治疗结果.
主要成果:
- 所有37个简单的肘部脱位都成功地用闭合缩减治疗.
- 38% (30/80) 的脱位与相关骨折需要开放的减少内部固定 (ORIF).
- 中间表皮骨骨折 (共59例) 的ORIF率为41%,侧皮骨骨折 (共9例) 的ORIF率为56%.
结论:
- 简单的儿科肘部脱位可以在非手术情况下进行管理.
- 相关的骨折,特别是中间表骨和侧骨,经常需要手术治疗 (ORIF).
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