[远端辐射骨折的保守治疗]
Alexander Ruzicka1, Peter Kaiser1, Gernot Schmidle1
1Universitätsklinik für Orthopädie und Traumatologie, Medizinische Universität Innsbruck, Anichstr. 35, 6020, Innsbruck, Österreich.
Operative Orthopadie und Traumatologie
|July 5, 2023
概括
远半径骨折的保守治疗提供了与手术在6个月和12个月的功能结果相似的结果,特别是在老年患者中. 虽然手术显示出更好的握力和更少的形,但保守护理的并发症率较低.
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
- 骨折管理 骨折管理
背景情况:
- 远距离半径骨折在所有年龄组中都很常见.
- 保守治疗 (减少和固定) 对手术方法具有潜在的优势,特别是在特定患者群体中.
研究的目的:
- 评估与外科手术相比,对远端半径骨折进行保守治疗的疗效和结果.
- 为了确定远半径骨折的保守管理的指示和禁忌.
主要方法:
- 保守的治疗包括用中国手指陷悬挂和引的封闭缩减,然后应用背部石膏长袖.
- 指示包括患有重大并发症,高手术风险 (ASA> 3),功能需求低或化品期望低的患者.
- 禁忌包括具有特定骨折位移参数的年轻患者,曲骨折,开口骨折,骨折位移或血液循环受损.
主要成果:
- 在治疗后6个月和12个月,保守和手术组之间没有观察到功能结果的显著差异.
- 经过手术治疗的患者表现出更好的握力和没有明显的形,但保守的治疗导致并发症明显减少 (5对13).
- 78%的保守治疗患者有明显的形,但对功能和化品结果表示满意.
结论:
- 保守的治疗与封闭的减少和固定是远距离半径骨折的可行选择,产生与手术相比较的长期功能结果.
- 这种方法在老年患者或有手术禁忌的患者中特别有利,因为它提供了较低的并发症率.
- 通过保守的管理,可以实现患者对功能和化品效果的满意度,尽管存在潜在的可见变形.
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