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患有远距离骨位移骨折的患者的五年结果

Nick Parsons¹, Juul Achten², Matt L Costa²

¹Statistics and Epidemiology, Warwick Medical School, University of Warwick, Coventry, UK.

The bone & joint journal

|July 3, 2023

概括

远距离骨骨折的内指甲和锁定板固定显示了五年后类似的结果. 中度残疾和生活质量下降持续超过伤害后的第一年.

科学领域:

整形外科手术整形外科手术
创伤护理的护理人员.
临床结果研究研究的临床结果.

背景情况:

远距离骨折固定 (FixDT) 试验最初比较了远距离骨骨折的内指甲和锁定板固定.
以前没有报告超过12个月的长期结果.

研究的目的:

为了比较远端骨骨折患者的五年结果,用内指甲治疗与锁定板固定相比.
评估患者报告的残疾,生活质量和需要修复手术的情况,最多在受伤后五年.

主要方法:

从最初的FixDT试验中对170名参与者的后续研究.
年度自我报告问卷评估了残疾评级指数 (DRI) 和EuroQol五维三级问卷 (EQ-5D-3L).
记录与骨折有关的进一步的手术干预.

主要成果:

五年后,指甲和板固定组之间没有DRI,EQ-5D-3L或进一步手术的显著差异.
残疾评级指数得分从12个月到24个月没有显著变化.
在五年随访期间,患者报告约20%的残疾.

结论:

在远距离骨骨折后,中等程度的残疾和生活质量下降在中期持续存在.
在受伤后的第一年,无论固定方法如何,患者报告的结果都观察到很小的改善.

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