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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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跨越外部固定对陷入骨柱骨折中的结构的影响

Sean Thomas¹, Brady K Huang², Avinaash Korrapati³

¹University of California San Diego School of Medicine, 200 West Arbor Drive MC 8894, San Diego, CA, 92103, USA.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|July 11, 2023

概括

跨越外部固定 (SEF) 柱骨折很少释放被困的软组织. 外科医生应该考虑早期的开放性减轻复杂的43-C3骨折与已识别的陷入结构.

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
放射学放射学是一门学科.

背景情况:

支柱骨折是一种复杂的伤害,具有显著的软组织损伤.
软组织结构 (ES) 的陷入可以发生在柱梁骨折碎片中.
跨度外部固定 (SEF) 的分阶段固定是软组织管理的标准.

研究的目的:

评估SEF对柱梁断裂中被困结构 (ES) 的影响.
为了确定SEF是否导致被困在柱子骨折中的软组织释放.

主要方法:

对212个支柱骨折 (2010-2022) 的回顾性审查.
纳入标准:SEF前后的CT扫描.
审查CT成像,以表征ES在SEF之前和之后.

主要成果:

19名患者已经确定了ES前SEF.
在这些患者中,只有36.8%的患者在SEF后完全释放ES.
后肌最常被困住 (62.5%的人仍然被困住).
43-C3骨折只有25%的ES释放,而43-C1和43-C2骨折的100%释放.

结论:

在柱梁骨折中被困的结构通常在SEF之后仍然被困.
对于前-SEF ES 的 43-C3 柱骨折,请考虑在 SEF 期间进行开放式减少.
在复杂的支柱骨折中被困的结构中,可能需要早期手术干预.

关键词:

计算机断层扫描 (CT) 是一种计算机断层扫描.陷入困中的结构.支柱骨折支柱骨折支柱骨折支柱骨折跨越外部固定装置的跨越外部固定装置.

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