博伊德方法:一种有价值的替代方法来治疗简单到复杂的肘部骨折和脱位
Alfonso E Ayala1, Kelvin Kim1, Brandon A Romero1
1Department of Orthopaedic Surgery, Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, NV, USA.
Journal of shoulder and elbow surgery
|July 9, 2023
概括
博伊德手术是一种安全的手术技术,用于复杂的肘部损伤,严重并发症的发病率很低,如鼻静止和不稳定. 这项研究在大量患者系列中显示出有利的结果,挑战了先前的担忧.
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
- 外科手术的方法
背景情况:
- 博伊德手术是一种后部手术技术,用于近端半径和肘部.
- 从历史上看,人们对近端放射性突突和肘部不稳定性的担忧限制了它的使用.
- 最近的证据表明,这些并发症可能比最初报告的更少.
研究的目的:
- 评估Boyd方法在治疗一系列肘部损伤方面的结果.
- 评估与这种手术技术相关的术后并发症的发生率.
主要方法:
- 从2016年至2020年,对44名用博伊德方法治疗的患者进行了回顾性审查.
- 数据包括人口统计,伤害类型,并发症,运动范围和放射性发现.
- 随访包括至少一次术后诊所访问.
主要成果:
- 最常见的伤害是蒙特吉亚骨折移位 (32%) 和可怕的三合体伤害 (18%).
- 没有观察到近距离放射性突突同位症的病例.
- 报告的异型骨化率低 (5%),不稳定性低 (2%),神经病变低 (11%),大多数病例得到缓解或保守管理.
结论:
- 博伊德方法是一种安全有效的方法,用于治疗简单到复杂的肘部损伤.
- 这一系列表明,诸如阴道静止和不稳定等并发症可能比以前认为的更少.
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