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距离关节骨骨折与"上部完好无损的皮质骨":最小侵入性手术

Rodrigo Liendo^1,2, Julio J Contreras Fernández^1,2,3,4, Daniel Manosalvas^1,2

¹Shoulder and Elbow Unit. Pontifical Catholic University of Chile, Santiago, Chile.

JSES reviews, reports, and techniques

|August 17, 2023

概括

最少侵入性皮质按固定为不稳定的远端关节骨骨折提供了安全有效的治疗方法. 这种技术显示出有前途的结果,具有出色的愈合和没有并发症,使患者能够恢复工作.

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
骨的固定是骨的固定.

背景情况:

距离关节骨骨折占关节骨损伤的很大一部分 (12%-26%).
不稳定的远端关节骨骨折往往需要手术干预.
目前的固定方法报告了高的并发症和重新操作率,表明需要改进技术.

研究的目的:

描述一种微创手术技术,用于减少和稳定移位的远端关节骨骨折.
评估使用皮质按固定的安全性和有效性.

主要方法:

这是一种最小的侵入性方法,涉及到心脏关节区域的3厘米切口.
使用心肌和关节骨道来减少骨折,并用皮质按固定.
按照标准的术前和术后护理方案进行.

主要成果:

21名患者 (19名男性,平均年龄34.7岁) 接受了这种技术的治疗.
平均随访时间为23.4个月 (范围为6至41个月).
观察到优秀的临床结果,高的简单肩部测试 (79.4) 和低的QuickDASH (11) 分数. 放射性证据证实了12周的骨折巩固,没有非联合或不联合. 没有报告任何感染或手术部位并发症,所有患者都恢复了工作.

结论:

最少侵入性皮质按固定是一种安全可靠的治疗选择,用于不稳定的远端关节骨骨折.
该技术显示出有前途的初步结果,具有出色的临床和放射性结果.
没有并发症和需要移除植入物进一步支持其实用性.

关键词:

关节骨的关节骨是一个关节骨.并发症可能导致并发症.皮层骨的皮层骨.骨折固定方法骨折固定方法骨折骨折骨折骨折在最少侵入性的外科手术程序.

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