环外固定在脚和脚中的安全性和并发症率
Cameron Meyer1, Karissa Badillo1, Patrick Burns2
1Podiatric Medicine and Surgery Residency, Department of Orthopedics, University of Pittsburgh Medical Center, Pittsburgh, PA.
概括
在足手术中,环外固定有较高的轻微并发症率,主要是线刺激和红血. 大多数小问题在没有干预的情况下得到解决,但了解这些结果对于患者护理至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 外部固定是脚和脚外科医生的关键技术.
- 关于与外部固定相关的实际并发症率缺乏明确的共识.
研究的目的:
- 为了确定一个外科医生在一个机构执行的环外固定手术的并发症率.
- 分析在足手术中使用圆形框架遇到的并发症的类型和严重程度.
主要方法:
- 在2009年至2021年期间接受治疗的224名患者 (238个圆形框架) 的回顾性审查.
- 并发症分为轻微 (没有提前去除/或返回) 和重大 (提前去除/或返回<2个月).
- 详细记录线和半针并发症,发病和解决方案.
主要成果:
- 10%的伊利扎罗夫电线和7%的半针出现了并发症.
- 44%的患者有轻微的并发症,9%有严重的并发症.
- 轻微的并发症,通常是线性刺激/红斑,在73%的病例中没有干预就消失了.
结论:
- 虽然轻微并发症的发生率似乎很高,但许多预期的结果,如电线刺激和局部红斑.
- 骨髓炎的病史显示与轻微并发症有显著的相关性.
- 识别预期结果对于准确评估和足部和脚外部固定的适当的术后管理至关重要.
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