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92例放射性头部骨折的功能性术后结果:基于PROM的回顾性研究
Michael Müller1, Verena Mann1, Julian Zapf1
1Department of Trauma Surgery, Hospital Rechts der Isar, Technical University of Munich, 81675 Munich, Germany.
Journal of clinical medicine
|September 28, 2023
概括
放射性头部骨折的手术治疗产生了良好的结果,梅森II骨折显示出比梅森III更好的结果. 肘部自我评估得分有效地测量了手术后患者报告的功能结果.
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
- 生物医学工程 生物医学工程
背景情况:
- 辐射头部骨折很常见,通常需要对移位骨折进行手术干预.
- 关于不同类型的辐射头骨折的患者相关结果 (PROM) 的数据有限.
- 外科选择包括螺丝/板骨质合成,切除或辐射头部置换.
研究的目的:
- 为了评估放射性头部骨折的手术治疗后的功能结果.
- 为了将功能结果与最初修改的梅森分类相关联.
- 评估肘部自我评估分数 (ESAS) 在评估患者结果中的实用性.
主要方法:
- 92个经过手术治疗的辐射头部骨折 (Mason II-IV) 的回顾性研究.
- 患者填写了肘部自我评估得分 (ESAS) 问卷.
- 收集的数据包括骨折分类,手术技术和修复手术.
主要成果:
- 平均ESAS得分为89.7 ± 16.7.7,平均得分为89.7 ± 16.7.
- 梅森II骨折 (n=57) 的ESAS分数 (92.3 ± 13.9) 显著更好,修订率低于梅森III骨折 (n=35;85.4 ± 20.1).
- 螺杆骨质合成 (n=67) 显示出比板骨质合成 (n=20) 更好的ESAS得分.
结论:
- 放射性头部骨折的手术治疗提供了良好的结果.
- 术后功能与最初的梅森分类相关,在梅森III中结果更差.
- ESAS评分是评估基于患者的功能结果的一个有价值的工具.
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