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前胸壁和肋骨软骨损伤的硬件故障:一个单中心的经验

Jaya Sai Varre¹, Alexis Schweibinz, Jacob Holzemer

¹From the Department of Surgery (J.S.V.), Department of Surgery (A.S., J.H., J.A.B., W.B.D.V.), and Department of Trauma Surgery (A.C., M.M.), OhioHealth Riverside Methodist Hospital, Columbus, Ohio.

The journal of trauma and acute care surgery

|October 13, 2023

概括

在肋骨骨折 (SSRFs) 手术稳定过程中,肋骨软骨骨折的硬件故障为2.1%. 这一比率相当于整体SSRF硬件故障,表明胸壁损伤的有效稳定.

科学领域:

整形外科手术整形外科手术
胸部外科手术胸部外科手术
创伤外科手术创伤外科

背景情况:

肋骨软骨损伤经常被忽视在的胸部创伤,并可能导致显著的发病率.
关于专门用于肋骨软骨固定手术硬件的性能存在有限的证据.
以前的研究表明,在手术稳定肋骨骨折 (SSRFs) 中,一般硬件故障率约为3%.

研究的目的:

为了评估在因肋骨软骨损伤而接受SSRF的患者的硬件性能和失败率.
评估当前对软骨性胸壁缺陷的固定技术的安全性和有效性.

主要方法:

从2016年到2022年接受SSRF的患者的回顾性审查.
包括急性和慢性肋骨软骨损伤.
评估放射和临床随访数据以确定硬件故障 (板块骨折,错位,螺丝迁移).

主要成果:

分析了44个肋骨软骨板的43名患者.
在三名患者中,硬件故障发生在2.1%的盘子中 (共144个中的3个).
大多数失败无症状; 一名患者需要修复手术.

结论:

在这个队列中,肋骨软骨骨折的硬件故障为2.1%,与整体SSRF故障率一致.
使用适当技术进行手术稳定,可对前部和软骨胸壁损伤提供可靠的固定.
这项研究支持SSRF用于肋骨软骨损伤的使用,硬件故障的发生率很低.

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