复杂骨折和手腕创伤中的甲状腺板骨质合成:一个案例系列
Chai Jiun Liau1,2, Siew Khei Liew3, Syahril Rizal Arsad1
1Hand & Microsurgery Unit, Orthopedics Department, Hospital Selayang, Selangor, MYS.
Cureus
|October 16, 2023
概括
骨板为复杂的手腕骨折提供了可靠的解决方案,包括骨折和骨损失,达到100%的结合率. 这种方法为具有挑战性的骨骨折病例提供了必要的稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理的护理人员.
- 手和手腕手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术
背景情况:
- 甲状腺骨折由于血管性和解剖学而存在独特的治疗挑战.
- 无头压缩螺丝是不稳定的骨骨折的标准.
- 复杂的骨折和骨损失需要替代的固定方法.
研究的目的:
- 为了评估在复杂的手腕创伤中状板固定的疗效.
- 为了评估用板治疗的碎片和多片段骨骨折的结果.
- 在严重的手腕损伤中分享与骨板骨质合成的临床经验.
主要方法:
- 对9名患有复杂手腕创伤和骨骨折的患者进行了回顾性审查,这些患者接受了板块骨质合成治疗 (2019年7月 - 2021年9月).
- 分析患者的人口统计,成像 (放射,CT),疼痛评分,手腕运动范围和骨折结合.
- 一年后使用手臂,肩膀和手的快速残疾 (QuickDASH®) 评分进行术后功能评估.
主要成果:
- 在所有9名患者中观察到100%的骨折结合率.
- 平均手腕运动范围为105度;在一年内,平均QuickDASH®得分为19.96.
- 在8名患者中,结果从良好到令人满意;一个结果不佳,一个硬件并发症 (板块冲击).
结论:
- 骨板骨质合成是复杂的,碎碎的或多片段的骨骨折的可靠治疗方法.
- 板固定提供足够的稳定性,而其他方法可能不足.
- 该研究建议扩大状板的使用范围,不仅限于非联合,还包括复杂的急性手腕创伤.
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