用专门的螺纹钉固定远端腰椎骨折的固定
Michael J Niemann1, Andréa B Lese1, Shafic Sraj1
1Department of Orthopaedics, West Virginia University, Morgantown, WV.
Journal of hand surgery global online
|July 31, 2023
概括
一个新的有线针为远端骨骨折提供了可行的内固定,避免了板固定常见的硬件突出. 这种方法对与此相关的远半径骨折患者显示出有前途的结果.
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
- 生物医学工程 生物医学工程
背景情况:
- 远端骨骨折往往需要手术固定,因为有不良结合的风险,特别是当与远端半径骨折相关时.
- 传统的板固定用于这些骨折可能会导致突出的硬件,并需要移除.
- 骨髓内固定是一种减轻与板固定相关的并发症的替代方案.
研究的目的:
- 评估一种新型的内螺纹针治疗远端骨骨折的疗效.
- 评估与这种固定方法相关的患者结果和并发症.
- 为了比较这种技术与传统的板固定用于远端骨骨折.
主要方法:
- 一系列9名患有远端骨骨折的患者,所有患有相关的远端半径骨折,都使用内螺纹针固定治疗.
- 分析了手术前和手术后的放射图.
- 通过电话随访,使用快速DASH和视觉模拟量表 (VAS) 评分来评估患者报告的结果.
主要成果:
- 平均快速DASH分数为13.6,中位数为9.1.
- 三名患者报告偶尔出现腰侧手腕疼痛 (平均VAS为1.3).
- 不需要去除螺纹针; 一名患者进行了辐射板切除. 所有患者都恢复了活动,除了一个患者经历了影响乐器演奏的硬.
结论:
- 内螺纹针固定是远端骨骨折的一个可行的替代方案.
- 这种方法可以通过避免突出的硬件来提供比板固定的优势.
- 该技术证明了良好的患者结果,对二次手术的需求最小.
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