[距离半径骨折-战术和方法]
Nicole M van Veelen1, Reto Babst2,3, Björn-Christian Link2
1Klinik für Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, Spitalstrasse, 6000, Luzern, Schweiz. Nicole.vanveelen@luks.ch.
Operative Orthopadie und Traumatologie
|July 3, 2023
概括
移位手腕骨折的手术治疗旨在实现最佳的愈合和功能. 虽然一般有效,但潜在的并发症,如肌刺激和老年患者的好处需要考虑.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
背景情况:
- 移位的内关节和外关节手腕骨折需要手术干预以获得最佳结果.
- 不稳定性标准包括年龄> 60,女性性别,背部位移> 20°,背部削减,辐射缩短> 5 mm,手掌位移.
研究的目的:
- 概述了手腕骨折移位的外科指示,禁忌,技术和术后治疗方法.
- 评估与手术骨折固定相关的功能结果和并发症率.
主要方法:
- 手术技术是根据骨折模式量身定制的,手掌涂层是常见的.
- 背部或关节镜辅助方法用于关节表面可视化.
- 术后管理涉及功能动员,与不稳定的固定不动化.
主要成果:
- 用骨质合成治疗的正确减少的骨折显示了改善的功能结果.
- 并发症的发生率在9-15%之间,主要涉及肌刺激/破裂和板块移除.
- 对于65岁以上的患者进行手术治疗的好处仍在研究中.
结论:
- 手术固定是有效的移位手腕骨折,恢复对齐,使功能恢复.
- 仔细选择患者和技术至关重要,以尽量减少并发症.
- 需要进一步的研究来澄清老年患者的长期益处.
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