在老年人中移位脚骨折的后脚钉:病例控制分析分析
1Department of Orthopaedic Surgery, Waikato Hospital, Hamilton, New Zealand.
Injury
|July 14, 2023
概括
对于老年人脚骨折的后脚钉钉显示出更多的并发症和回归手术,而不是开放式缩减和内部固定 (ORIF). 虽然允许更早的承重,但这种手术选择对脆弱的患者有潜在的风险.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤护理老年创伤护理
背景情况:
- 患有脆弱脚骨折的老年患者在外科手术方面面临着挑战.
- 开放式减少和内部固定 (ORIF) 是一种常见的治疗方法,但对于脆弱的个体来说,正在寻找替代方法.
研究的目的:
- 为了比较后脚钉钉的结果和并发症与老年患者脆弱脚骨折的ORIF.
- 评估后脚钉钉作为替代手术方法的疗效.
主要方法:
- 在2010-2021年期间,对65岁以上的患者进行后脚钉或ORIF的回顾性审查.
- 患者根据年龄,性别,并发症 (查尔森并发症指数) 和受伤前功能 (卡诺夫斯基表现量表) 进行了匹配.
- 结果包括死亡率,停留时间,手术时间,恢复流动性,伤口并发症和感染.
主要成果:
- 两组人在停留时间或运营时间上没有显著差异.
- 后脚的钉钉可以显著提前承重 (22天与59天相比).
- 后脚钉钉与更高的并发症率和返回手术室 (7对2) 相关.
结论:
- 在老年患有脆弱脚骨折的老年患者中,后脚钉钉与并发症和重新手术的风险增加有关.
- 尽管有潜在的好处,如更早的举重,但外科医生和患者必须考虑这些增加的风险.
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