单独通过皮肤固定圣骨螺丝就足以轻微移位的U型圣骨骨折,并保留了骨固定通路
Augustine M Saiz1, Patrick J Kellam2, Adeet Amin2
1Department of Orthopaedic Surgery, The University of California Davis, Sacramento, CA, USA. amsaiz@ucdavis.edu.
概括
穿皮关节螺丝有效地治疗U型关节骨折,当有骨固定通路存在时. 腰腹骨固定只适用于高度移位的骨折,这两种方法都能确保可靠的愈合.
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.
- 骨的重建 骨的重建
背景情况:
- U型十字骨折是一种复杂的伤害,通常需要手术干预.
- 穿皮的圣螺丝 (PSS) 固定和腰骨固定 (LPF) 是外科选择.
- 了解断裂特征对于选择最佳固定方法至关重要.
研究的目的:
- 为了确定适合PSS固定的U型骨骨折的特征.
- 为了比较PSS固定与LPF在U型骨骨折中的结果.
- 评估不同手术技术对U型骨折的疗效.
主要方法:
- 从一级创伤中心 (2014-2020) 进行82次U型骨折的回顾性审查.
- 分析患者的人口结构,损伤机制,骨折模式和固定结构.
- 在PSS和LPF组之间比较骨折位移和手术结果.
主要成果:
- 76个骨折仅用PSS治疗,6个用LPF治疗.
- 与单独的PSS相比,LPF组在所有平面上显示出明显更大的位移.
- 所有患者都实现了圣体结合,在任何一组中都没有植入器失败或重新手术.
结论:
- PSS固定是U型骨骨折的可行选择,具有足够的骨固定通路.
- 对于严重移位的骨折和脊椎骨盆不稳定性,LPF可能是必要的.
- 无论是PSS还是LPF,都能为U型圣骨骨折提供可靠的固定和愈合.
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