突侧硬化不影响患者的结局 进行状锁定板固定的患者的远距离半径骨折
Jong-Hun Baek1, Jae-Hoon Lee2, Ki-Hyeok Ku3
1Department of Orthopedic Surgery, Kyung Hee University School of Medicine, Kyung Hee University Hospital, Seoul 02447, Republic of Korea.
Journal of clinical medicine
|September 28, 2023
概括
手术前的月经侧硬化症在远半径骨折固定后没有影响临床结果. 观察到肘部变异增加,但与患者报告的疼痛或功能得分无关.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 放射学 放射学是一门学科.
背景情况:
- 远距离半径骨折 (DRF) 可以导致半径缩短和肘部冲击.
- 伏拉锁板固定是DRF的常见治疗方法,但仍然可能发生一些辐射高度的损失.
- 手术前的月经侧硬化是影响结果的潜在因素.
研究的目的:
- 调查手术前侧硬化症对DRF的飞行锁定板固定后的临床和放射性结果的影响.
- 为了在DRF手术后比较患有侧硬化和没有侧硬化的患者.
主要方法:
- 一项回顾性研究,将18名手术前侧硬化症患者 (A组) 与72名匹配的对照人 (B组) 进行比较,这些人接受了DRF的飞行锁定板固定.
- 评估的临床结果包括视觉模拟量表 (VAS) 疼痛,手臂,肩膀和手的残疾 (DASH) 评分和握力.
- 放射性结果包括腹变异 (UV),辐射倾斜,辐射长度和飞行倾斜,在两周和最后的随访后测量.
主要成果:
- 在VAS得分,DASH得分或A组和B组之间的握力之间没有发现显著差异.
- 平均紫外线在A组在两周和最后的随访期间都显著更高.
- 紫外线及其绝对值的变化与DASH或VAS得分在任何一组都没有相关.
结论:
- 手术前的月经侧硬化症似乎不会对DRF的飞行锁定板固定后的临床结果产生负面影响.
- 尽管手术前硬化症患者的手术后巴变异增加,但功能和疼痛得分仍然与没有硬化症患者相比.
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