相关实验视频

Updated: Jul 18, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

靠近腰骨骨折:对当前实践的审查

R Pandey¹, P Raval², N Manibanakar²

¹Trauma and Orthopaedic Surgeon, University Hospitals of Leicester, Leicester, United Kingdom.

Journal of clinical orthopaedics and trauma

|August 28, 2023

概括

靠近骨骨折 (PHF) 管理是有争议的,其发病率越来越高. 这些骨折的治疗决策必须是个性化的,考虑患者的因素和骨折特征,以获得最佳的结果.

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
放射学放射学是一门学科.

背景情况:

靠近骨骨折 (PHF) 的发生率正在增加,治疗仍然存在争议.
准确的临床评估和先进的放射性成像,包括3DCT,对于决策和手术规划至关重要.
现有的PHF分类的可靠性较差,需要专注于预测性放射性因素,以获得外科成功.

研究的目的:

审查目前对近腰骨折 (PHF) 的管理策略.
突出患者特异性和骨折特异性考虑在治疗选择中的重要性.
讨论关节整形术在PHF管理中的不断变化的作用,特别是逆转肩部置换.

主要方法:

关于近腰骨折管理的当前文献的综述.
分析诊断模式,包括临床评估和高级成像 (3D CT).
评估各种治疗方案:非手术,内部固定,骨髓内钉,骨关节整形和逆肩置换.

主要成果:

大多数PHF是稳定的,并非手术治疗,在老年患者中耐受性很好.
不稳定的骨折的手术治疗需要适当的稳定,更大的结核病管理是关键.
反向肩部置换显示出PHF的日益增长的趋势,特别是在轮手腕功能障碍的老年患者中或作为修复手术.

结论:

治疗PHF需要针对患者的具体方法,考虑骨折严重程度,骨质,患者功能和外科医生的专业知识.
虽然非手术治疗对于稳定的骨折是成功的,但关节整形,特别是逆肩部置换,对于复杂的病例提供了可预测的功能结果.
选择治疗方法,包括越来越多地使用逆肩置换术,应与个体患者的需求和外科医生的能力保持一致.

关键词:

关节质整术是指关节质整术.靠近腰骨骨折靠近腰骨骨折靠近腰椎骨折的管理骨折管理肩膀肩膀在肩膀上创伤是一个创伤.上部四肢的上部四肢是什么

更多相关视频

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

Published on: March 3, 2023

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

相关概念视频

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

Bones of the Upper Limb: Humerus

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...