支柱体自体移植作为靠近腰椎关板的介质支 构建在切断的近腰椎骨折中:回顾性分析
Sameer Panchal1, Sangeet Gawhale2, Amit Kumar Yadav1
1Department of Orthopaedics, Sir HN Reliance Foundation Hospital and Research Centre, Mumbai, 400004 India.
Indian journal of orthopaedics
|August 23, 2023
概括
带有锁定板的非血管化的支柱体自体移植有效地防止近接骨骨折中的体崩. 这种手术技术促进了早期的骨愈合和良好的功能结果,避免了并发症.
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
- 骨的重建 骨的重建
背景情况:
- 瓦鲁斯崩是手术固定近腰骨骨折中常见的失败模式.
- 缩小近端骨骨折 (PHF) 经常存在中部骨损伤或空洞,增加不稳定性.
- 有效的介质支持对于成功的PHF手术固定至关重要.
研究的目的:
- 为了评估使用非血管化骨自移植作为介质支持的功能和放射性结果.
- 为了评估一个锁定板构造的效果,用长丝管自移植用于切断PHF的.
- 为了确定这种技术是否能防止瓦鲁斯崩并促进结合.
主要方法:
- 18名不稳定的PHF患者 (50-70岁) 的回顾性评估和至少两年的随访.
- 所有根据Resch,Neer和AO系统分类的骨折,均存在中间石灰损害或碎片化.
- 开放的减少内部固定 (ORIF) 具有锁定板和骨髓内长丝管自体移植用于介质支.
主要成果:
- 所有患者均在平均8个月内实现了放射性结合.
- 报告的良好功能结果:UCLA平均得分为29.61,ASES平均得分为89.44.
- 没有观察到血管缩或血管亡的情况;没有捐赠部位的并发症.
结论:
- 菲洛斯 (PHILOS) 板固定增强了状体自移植,有效地减少了不稳定的PHF的状体崩.
- 这种技术促进了早期的放射性结合和良好的功能恢复.
- 支骨管自移植提供可靠的中间支,防止碎骨折的崩.
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