经过保守治疗的大型皮普金I骨折脱位的结果:一个案例报告
Omar Alfreihi1, Bander S Alrashedan2, Hamid T Aljohani1
1Department of Orthopedic Surgery, Prince Sultan Military Medical City, Al MPR7+4CQ, Makkah, Mukarramah Rd, As Sulimaniyah, 12233, Riyadh, Saudi Arabia.
Journal of surgical case reports
|September 20, 2023
概括
皮普金I骨折脱,是一种罕见的损伤,可能会产生严重的并发症. 这一案例突出显示了使用封闭缩减和骨引力的垂直皮普金I骨折的成功管理,强调了有利结果的解剖缩减.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
- 部和骨盆受伤伤害 部和骨盆受伤
背景情况:
- 皮普金I骨折脱是一种罕见的部损伤,通常是由于高能量的创伤造成的.
- 这些伤害带有严重并发症的风险,无论治疗方式如何.
- 治疗决策以骨折特征为指导,例如大小,位置和位移.
研究的目的:
- 在一个多重胸部受伤的年轻女性身上呈现Pipkin I骨折脱的案例.
- 用非手术方法描述垂直导向的皮普金I骨折的成功管理.
- 评估这种保守治疗方法的长期结果.
主要方法:
- 一名42岁的女性患有左侧皮普金I骨折脱以及相关的胸部创伤.
- 骨折被确定为垂直的自然.
- 管理涉及封闭的减少,随后是床上休息和骨引力.
主要成果:
- 患者在3年的随访期间取得了令人满意的功能结果.
- 在整个治疗过程中成功地保持了解剖缩小.
- 在随访期间没有报告任何重大并发症.
结论:
- 保守的管理,包括封闭的减少和骨引力,可以有效地选择皮普金I骨折位移.
- 骨折的垂直方向和细致的维护解剖缩小似乎对成功的结果至关重要.
- 这一案例表明,皮普金I型骨折可能并不总是需要手术干预,即使存在相关伤害.
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