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与皮革治疗相比,通过开放固定减少后部骨骨折

Brittany E Haws¹, Steven Karnyski¹, David A DiStefano¹

¹Department of Orthopaedics, University of Rochester Medical Center, Rochester, NY, USA.

Foot & ankle orthopaedics

|October 3, 2023

概括

后骨骨折的开放缩小比穿皮方法提供了更好的结果,特别是在复杂的骨折. 这项研究发现,对多个碎片或显著的位移而言,开放固定优越,从而降低了恶性减少风险.

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
骨的修复骨的修复

背景情况:

对后骨骨折减少技术的决策是复杂的.
通过皮肤与开放的减少质量的比较对于最佳的患者结果至关重要.
识别预测缩的因素对于手术规划至关重要.

研究的目的:

为了比较后骨骨折的穿皮和开放性减轻之间的减轻质量.
为了确定与这些骨折中减弱相关的因素.
评估手术方法对患者报告的结果和并发症的影响.

主要方法:

120个经过手术管理的脚骨折与后部骨固定的回顾性审查.
术前CT扫描用于骨折表征和术后X射线图用于减少质量评估 (分级<2毫米).
多变量回归分析以确定恶性减少的预测因子,比较穿皮和开放的队列.

主要成果:

在11.7%的患者中发生了不良减少,在皮肤穿透组 (24.1%) 与开放组 (7.7%) 显著高.
不良减少的独立风险因素包括初始位移≥5毫米和皮肤穿治疗.
两组之间1年并发症或PROMIS分数没有显著差异.

结论:

后部骨骨折的开放减小可能会提供优越的减小质量,而不是穿皮方法.
开放固定有利于具有多个碎片或显著位移 (≥5毫米) 的骨折.
最初的移位和穿皮方法是不良减少的关键预测因素,独立于并发症率.

关键词:

一个承诺,一个承诺.方法的方法的方法的方法.骨折形态骨折形态骨折形态减少不良的减少后面的小骨 (malleolus) 在

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