在小腿高原骨折后常见的腹部神经损伤:一个案例系列
Jaime Garcia-Fernandez1, Alexa Belcheva1, Will Oliver1,2
1The University of Edinburgh Medical School, 47 Little France Crescent, EH16 4TJ Edinburgh, Scotland, UK.
Trauma case reports
|September 4, 2023
概括
常见的神经 (CPN) 麻是小腿高原骨折 (TPF) 的罕见并发症. 这项研究发现发生率为1.47%,大多数患者在两年内完全康复,这表明预后比其他膝盖创伤更好.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 创伤护理 创伤护理
背景情况:
- 常见的神经 (CPN) 损伤是膝盖创伤的严重并发症,通常导致脚下降.
- 由于CPN损伤与骨平原骨折 (TPF) 相结合的罕见性,证据有限.
- 据报道,Varus变形位移和骨折是CPN损伤的危险因素.
研究的目的:
- 为了确定带平原骨折 (TPF) 患者中CPN的发生率.
- 分析与TPF相关的CPN的结局和恢复模式.
主要方法:
- 在2011年至2020年期间处理的746个TPF病例的回顾性审查.
- 对患者人口统计学,损伤机制,临床过程和并发症的分析,专门识别CPN.
- 使用Schatzker,Luo和AO/OTA系统进行骨折分类;记录CPN损伤细节,神经传导研究和症状持续时间.
主要成果:
- 11名患者 (1.47%的发病率) 同时出现TPF和CPN麻.
- 中间柱骨折 (9/11) 和C3碎片式TPF模式 (4/11) 是最常见的.
- 在中枢骨折 (5%) 和双骨折 (3%) 中,CPN损伤的发生率更高;在11名患者中,9名在2年内恢复了完全的神经功能.
结论:
- 这项研究提供了关于同时发生的TPF和CPN损伤的第一个队列数据.
- 在高风险的中间体和双侧体TPF中,应该怀疑CPN.
- 与TPF相关的CPN的预后比其他膝关节创伤相关的神经损伤更好,大多数患者预计将完全恢复功能.
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