护腿骨骨折复合骨折的非手术治疗结果
S Arun1, Sunil S Nayak1, A Chithra1
1Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences Manipal, Manipal Academy of Higher Education, Manipal, India.
Journal of maxillofacial and oral surgery
|August 3, 2023
概括
肌肉骨骨复合体 (ZMC) 骨折的非手术治疗显示出有限的成功,A型骨折的反应最好. 严重的C型骨折需要手术干预以获得最佳结果.
科学领域:
- 口腔和牙面部外科手术
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 有限的文献存在于创伤后的肌肉骨复合体 (ZMC) 骨折的非手术治疗.
- 由于各种患者或受伤相关因素,ZMC骨折有时需要保守的治疗.
研究的目的:
- 临床评估ZMC创伤后骨折的非手术治疗效率和结果.
- 评估保守治疗后特定迹象和症状的消失.
主要方法:
- 分析了一百三名患有孤立的创伤后ZMC骨折的患者,这些患者接受了非手术治疗.
- 骨折被使用Zingg等人对骨折进行分类. 标准 (A,B,C类型) 要求.
- 六个参数 (疼痛,口腔开口,脑下神经麻醉,美学形,脑下脚步形,眼部状况) 在6个月内被评估并进行统计分析.
主要成果:
- 经过6个月的非手术治疗,所有骨折类型都显示出残留形.
- 甲型和乙型骨折显著改善了疼痛,口腔开口和轨道下神经麻醉.
- 在任何组中,在美学形,轨道下阶段形或眼部状况方面都没有观察到显著的改善;C型骨折在所有参数中都显示出显著的缺陷.
结论:
- 甲型ZMC骨折最容易接受非手术治疗.
- 乙型骨折需要进一步调查,以获得最佳的长期非手术方案.
- C型骨折的特点是严重的移位和碎片化,需要进行手术纠正.
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