内部固定器与外部固定器在不稳定的骨盆环损伤的管理:一个前性比较队列研究
Mohamed Abo-Elsoud1, Mostafa I Awad2, Mahmoud Abdel Karim3
1Department of Orthopedics and Traumatology, Cairo University Hospitals, Cairo 11562, Egypt.
World journal of orthopedics
|July 24, 2023
概括
前部皮下骨盆内部固定器 (INFIX) 在不稳定的骨盆骨折中显示出更好的放射性结局和较少的感染,而不是前部上骨外固定器 (EXFIX). 对于管理这些严重伤害,INFIX 是一个优秀的选择.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理创伤管理
- 骨盆骨折的重建 骨盆骨折的重建
背景情况:
- 不稳定的前骨盆环损伤带来了严重的死亡风险.
- 管理这些骨折需要有效的骨盆环重建.
- 关于最佳固定方法存在争论:内部固定器 (INFIX) 与外部固定器 (EXFIX).
研究的目的:
- 为了比较功能和放射性结果.
- 为了评估INFIX和EXFIX之间的并发症率.
- 为了确定不稳定的骨盆环骨折的首选治疗方法.
主要方法:
- 一个前性队列研究54名患者的骨盆环骨折不稳定.
- 患者被分为INFIX (30例) 和EXFIX (24例) 组.
- 用马塔和托内塔得分评估放射性结果;用马吉德得分评估功能性结果.
主要成果:
- 在INFIX组显著改善了放射性结果 (P=0.013).
- 3个月后,INFIX组的功能结果 (坐,站,走) 在INFIX组中优越.
- 在INFIX组中观察到较低的手术部位感染率 (P=0.007).
结论:
- 与EXFIX相比,INFIX提供了优越的放射性结果.
- 在管理不稳定的前骨盆环骨折时,INFIX与减少感染率有关.
- INFIX为治疗这些伤害提供了更有利的选择.
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