[骨骨折的手术治疗. 骨骨折的手术治疗. 长期的结果]
C Matellanes-Palacios1, J Diranzo-García1, V Estrems-Díaz1
1Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, España.
Acta ortopedica mexicana
|September 5, 2023
概括
使用开放式减小和内部固定 (ORIF) 进行形骨折的手术治疗显示出良好的长期结果. 复杂的骨折,不良的减肥和高的BMI是导致不良结果的危险因素.
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:
- 骨骨折很少发生,占所有骨折的0.30.6%.
- 这些复杂的伤害往往需要手术干预.
研究的目的:
- 评估骨骨折治疗的长期临床和放射性结果.
- 为了确定与手术固定后关节衰竭相关的风险因素.
主要方法:
- 对23名接受开放性减少和内部固定 (ORIF) 治疗的患者的回顾性分析.
- 使用Judet y Letournel标准进行骨折分类 (简单与复杂).
- 使用哈里斯尺度评估的临床和放射性结果,随访时间至少为11.5年.
主要成果:
- 哈里斯尺度平均得分为81.90/100,简单骨折的结果更好 (p=0.027).
- 解剖缩小与较高分数相关 (p=0.033).
- 13%的患者需要修复手术 (全关节整形术);高BMI (>30) 显示出较差结果的趋势 (p=0.151).
结论:
- ORIF是治疗骨骨折的一种可行的手术选择,能产生良好的长期效果.
- 复杂的骨折,非解剖学缩小和BMI>30被确定为硬化进展的危险因素.
关键词:
这样一来,他就会有更多的机会.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,骨折.骨质合成的骨质合成进行手术治疗治疗.更多相关视频
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