创伤性胸体非结合的外科治疗:技术技巧和临床经验
Michael C LaRoque1, Indraneel S Brahme, Peter A Cole
1From the Department of Orthopaedic Surgery (M.C.L.R, I.S.B., P.A.C.), University of Minnesota Medical School, Minneapolis; Department of Orthopaedic Surgery (M.C.L.R, I.S.B., P.A.C.), Regions Hospital, St. Paul, MN; and HealthPartners Orthopaedics & Sports Medicine (P.A.C.), Bloomington, Minnesota.
The journal of trauma and acute care surgery
|July 5, 2023
概括
手术重建有效地治疗了创伤性胸非结合,这是一个罕见的并发症. 这项研究表明,使用锁定板和骨移植的结果是积极的,为胸壁外科医生提供了可行的解决方案.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 胸墙重建 胸墙重建 胸墙重建
背景情况:
- 创伤性胸骨骨折很少会导致非结合,对患者产生重大影响.
- 关于重建胸部非结合的文献是有限的,主要是病例报告.
研究的目的:
- 介绍创伤性胸体非联合重建的手术原理.
- 报告一系列7名接受此程序的患者的临床结果.
主要方法:
- 七名患有创伤性骨非结合症的成年患者使用锁定板和下脊骨移植进行了重建.
- 收集的数据包括人口统计,伤害细节,手术程序和患者报告的结果 (PROS).
- PROS包括单项评估数值评估 (SANE) 和全球身体/心理健康得分;评估了X射线统一.
主要成果:
- 七名患者的平均年龄为58岁;五名是女性.
- 骨折后固定的平均时间为9个月;大多数伤害是由机动车辆碰撞造成的.
- 在七名患者中,有六名患者实现了放射性结合,平均PRO得分表明功能恢复中等 (SANE 75,身体健康44,心理健康47).
结论:
- 展示了一种实用的手术方法,用于稳定固定创伤性胸体非联合体.
- 本系列的积极临床结果表明,概述的技术对于胸壁外科医生来说是有价值的.
- 该方法可以适应这种罕见损伤的各种表现.
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