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对于孤立的关节骨折有两种手术途径:一项比较研究.

Alexander A Fokin1,2, Joanna Wycech Knight1,3, Maral Darya1,4

  • 1Trauma and Critical Care Services, Delray Medical Center, Delray Beach, FL 33484, United States.

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概括

无论是通过创伤途径 (TP) 或医疗途径 (MP) 的入院,部骨折 (HF) 手术结果都是相似的. 专注于患者的健康和及时的手术,以获得关节骨折患者的最佳结果.

关键词:
录取服务的录取服务.美国麻醉学会的麻醉学家得分.孤立的部骨折 孤立的部骨折在手术前进行咨询.到了手术的时间.创伤中心的创伤中心.

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科学领域:

  • 整形外科手术 整形外科手术
  • 老年医学 老年医学
  • 创伤护理 创伤护理

背景情况:

  • 关节骨折 (HF) 是老年人群的重大健康问题.
  • 及时的手术干预,理想情况下在48小时内,对于管理关节骨折至关重要.
  • 患有关节骨折的患者可以通过创伤或医疗服务入院.

研究的目的:

  • 为了比较通过创伤途径 (TP) 住院的关节骨折患者的管理和结果,与医疗途径 (MP.
  • 为了确定两个入院途径之间的患者特征,外科手术程序和临床结果的任何差异.

主要方法:

  • 对2094名患有近端大腿骨骨折 (AO/OTA型31) 接受手术的患者进行了回顾性研究.
  • 倾向性得分匹配用于创建TP (66名患者) 和MP (66名患者) 的可比组.
  • 统计分析包括多变量分析,组特征和双变量相关性 (基平方和t测试).

主要成果:

  • 匹配组在年龄,性别,骨折类型,外科手术或ASA得分方面没有显著差异.
  • 在TP组中,部骨折位移更为常见 (76%对39%).
  • 在TP患者中,手术持续时间较长 (59分 vs. 41分),但手术时间,ICU/住院时间和死亡率在各组之间相似.

结论:

  • 入院途径 (创伤与医疗) 不会影响关节骨折手术的结果.
  • 临床管理应优先考虑患者的健康状况,并加快手术干预.
  • 进一步的研究可以探索具体的干预措施,以减轻创伤途径中的骨折位移.