如果我们应该删除肋骨骨折的内部固定装置?
Yang Li1, Kaile Jiang1, Tiancheng Zhao2
1Department of Thoracic surgery, Shanghai Sixth People's Hospital, Shanghai, China.
Journal of cardiothoracic surgery
|July 4, 2023
概括
删除肋骨骨折的内部固定可以缓解并发症患者的症状,显示出高安全性. 无症状患者可以安全地保留植入物,但应告知移除风险.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 胸部外科手术 胸部外科手术
背景情况:
- 内部固定是肋骨骨折的常见治疗方法.
- 关于切除内部固定植入物的必要性存在争议.
- 有限的研究解决了植入物切除并发症和结果.
研究的目的:
- 分析与植入物相关的和术后并发症.
- 为了评估植入物切除后的术后缓解率.
- 在肋骨骨折患者中评估内部固定移除的安全性和有效性.
主要方法:
- 对143名接受肋骨骨折内部固定移除手术 (2020-2021) 的患者进行了回顾性分析.
- 对植入物相关并发症,术后并发症和缓解率的统计分析.
- 对患有和没有手术前症状的患者的结局评估.
主要成果:
- 73名患者患有手术前与植入物相关的并发症; 70名患者没有手术前的不适.
- 手术后的并发症包括伤口感染 (1) 和肺栓塞 (1).
- 在手术前并发症的患者中,缓解率为82%,在无症状组中,10%的患者在手术后出现不适.
结论:
- 移除植入物对患有肋骨骨折固定并发症的患者有好处.
- 移除提供了较低的并发症率,高安全性和可靠性.
- 无症状患者可以保留植入物;对于那些选择切除的人来说,知情同意至关重要.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
481
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
18.4K
相关概念视频
Fractures: Bone Repair
3.4K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.4K
Flail Chest-II
210
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
210
The Thoracic Cage: Ribs
3.4K
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
3.4K
