大脑骨折固定后的伤口并发症:植入物和软组织的考虑
Farhan Ahmad1, Andre D Sabet1, Mark Cohen1
1Orthopedic Surgery, Rush University Medical Center, Illinois, USA.
Cureus
|August 14, 2023
概括
骨头骨折固定后的伤口破坏与高能量的开放性伤害有关. 患者的BMI和板块突出等因素与这些并发症没有相关.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 生物医学工程 生物医学工程
背景情况:
- 骨头骨折通常需要手术固定.
- 手术后的伤口损伤是严重的并发症.
- 识别相关的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了调查患者和治疗的特定因素,与伤口断裂后的伤口破坏相关的olecranon骨折固定.
- 为了将患有伤口分解的患者与没有并发症的匹配对照组进行比较.
主要方法:
- 追溯,多中心病例控制系列.
- 包括手术治疗骨头骨折的患者.
- 对人口统计数据的分析,查尔森并发症指数 (CCI),BMI,以及对板块突出和软组织厚度的放射测量.
主要成果:
- 32名患有伤口病变的患者与35名对照人群进行了比较.
- 伤口破裂病例与更高能量的伤害有关,包括更多的开口骨折 (9对2).
- 两组之间在板块突出,软组织厚度或板块类型方面没有发现显著差异.
结论:
- 高能量的开放性损伤更经常与骨骨折固定后的伤口破坏有关.
- 患者特异性因素和板块突出/软组织厚度的放射测量似乎与伤口破坏无关.
- 需要进一步研究影响板位的因素及其对伤口并发症的贡献.
关键词:
肘部 肘部 肘部 肘部 肘部骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.一个小小的子.开放式减速内部固定方式结果就是结果.重新投入使用.一个创伤的创伤创伤.伤口的破坏性损伤.更多相关视频
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