目前的管理和Volar锁定板固定与骨质水泥增强对于老年人的远距离半径骨折-一个更新的叙述审查
Ting-Han Tai1, Po-Jui Chu1,2, Kuan-Yu Lu1
1Department of Orthopedics, Taipei Medical University Shuang Ho Hospital, New Taipei City 235041, Taiwan.
Journal of clinical medicine
|November 14, 2023
概括
在老年患者中,远距离半径骨折 (DRF) 是常见的. 本综述检查了这些骨折的骨质水泥增强 (BCA) 手术固定,评估当前的管理和证据.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 生物材料科学是生物材料的科学.
背景情况:
- 距离半径骨折 (DRFs) 非常普遍,特别是在老年人群中.
- 对老年人DRF的手术干预旨在加速康复,但最佳治疗仍在争论中.
- 骨质疏松症是老年DRF的一个关键因素,推动了对增强骨愈合策略的需求.
研究的目的:
- 审查目前对老年DRF的管理概念.
- 为了分析老年DRFs的骨质水泥增强 (BCA) 的飞行锁定板固定 (VLPF) 的证据.
- 提供关于BCA在老年DRF治疗中的好处和争议的最新信息.
主要方法:
- 在MEDLINE,Embase,Cochrane控制试验中央注册表和科学网络的系统文献搜索.
- 分析了1000多篇获取的文章,包括对48篇关于管理的文章和6篇关于VLPF与BCA的文章的全文审查.
- 专注于临床结果,功能结果和与手术治疗相关的并发症.
主要成果:
- 伏拉锁板固定 (VLPF) 是DRF的常见手术方法.
- 骨质水泥增强 (BCA) 用于增强骨折稳定性和骨质疏松性骨的愈合.
- 在接受VLPF的DRF的老年患者中,BCA的临床益处仍在研究和辩论中.
结论:
- 在老年人中,远端半径骨折的最佳治疗需要仔细选择患者.
- 需要进一步的研究来澄清骨质水泥增强与老年DRFs的飞行锁定板固定相结合的疗效和安全性.
- 关于骨质水泥增强对患有DRF的老年患者的显著益处的证据是有争议的,需要更强大的数据.
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