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在小腿高原骨折中临床功能和放射性结果之间的不匹配:一项回顾性研究

Markus Bormann¹, David Bitschi¹, Claas Neidlein¹

¹Department of Orthopedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, 81377 Munich, Germany.

Journal of clinical medicine

|September 9, 2023

概括

骨平原骨折 (TPF) 患者在长期内几乎恢复了受伤前的功能. 然而,临床和放射学评估显示的相关性有限,需要详细的客观评估以获得未来的结果得分.

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:

骨平原骨折 (TPF) 的评估涉及临床功能和放射性参数.
本研究使用拉斯穆森分数来研究这些参数之间的相关性.

研究的目的:

评估骨平原骨折患者的临床功能和修改的放射性拉斯穆森得分之间的相关性.
为了评估TPF患者的中期功能恢复.

主要方法:

对50名经过手术的TPF患者进行了回顾性单心研究.
临床功能拉斯穆森评分评估伤害前,1年术后和最后的随访.
经过修改的放射性拉斯穆森评分在经过1年的术后确定,使用常规放射图.

主要成果:

患者在受伤前和随访时取得了优异的功能评分,复杂骨折的情况有显著差异.
术后一年,临床功能和放射学分数都很好.
在66%的病例中,临床功能和放射性得分类别之间没有一致性.

结论:

与受伤前状态相比,TPF患者的中期功能水平几乎相当于受伤前状态.
临床功能和放射学参数之间的相关性有限.
客观,详细的临床和放射性评估对于预期的结果得分至关重要.

关键词:

拉斯穆森的得分是可以得的.临床结果的临床结果.放射学的结果.骨平原骨折 (TPF) 发生

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Fractures: Bone Repair

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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...