旋转变形是否会在儿科上下骨骨折后导致糟糕的结果?
Mete Gedikbaş1, Orhan Balta2, Tahir Öztürk2
1Department of Orthopaedics and Traumatology, Turhal State Hospital, Tokat-Türkiye.
概括
在骨骨折手术后的旋转变形可能导致肘变形 (CVD). 在手术期间对旋转对齐的评估对于预防长期并发症和改善美容结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
背景情况:
- 阴茎形变形 (CVD) 是超骨骨折手术后的潜在并发症.
- 远端手臂片段的旋转变形已与心血管疾病的发展有关.
研究的目的:
- 调查旋转形和肘部变形 (CVD) 的发展之间的关联.
- 为了评估旋转变形对骨骨折的外科治疗后的功能和化品结果的影响.
主要方法:
- 在88名患有加特兰II型或更高超骨骨折的患者进行了回顾性研究,这些患者接受了封闭缩减和穿皮刺针治疗.
- 患者根据旋转变形测量 (>10°与<10°) 进行分组.
- 使用曼角度和承载角度评估cubitus varus变形;使用弗林标准评估功能和化品结果.
主要成果:
- 在88名患者中,只有4名患有心血管疾病.
- 三名心血管疾病患者的旋转形≥20°.
- 患有心血管疾病 (A组) 和明显旋转形 (第一组) 的患者表现明显较差 (P<0.001).
结论:
- 距离骨碎片与旋转不整齐的固定可能会导致肘部形的发展.
- 在手术期间对旋转对齐的评估对于预防长期变形和改善化品效果至关重要.
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