[翻译文章] 下位移:对一系列病例的分析. 我们的紧急治疗算法
J Gómez Alcaraz1, E Ajuria Fernández1, J M García López1
1Servicio Cirugía Ortopédica y Traumatología, Hospital Universitario 12 de Octubre, Madrid, Spain.
Revista espanola de cirugia ortopedica y traumatologia
|November 22, 2023
概括
细骨位移,罕见的足部受伤,需要迅速减少和固定. 这些严重的伤害往往导致早期的骨关节炎,外部固定是开放病例的可行选择.
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
- 足部医学 足部医学
背景情况:
- 部脱位是罕见的创伤性足部损伤,其特征是受损的骨和骨关节关系.
- 现有的关于亚位移的文献主要由小型病例系列组成,突出显示需要进一步的描述性分析.
研究的目的:
- 为了分析一系列的位突变的流行病学,临床和放射学变量.
- 根据这些发现,提出一个急诊治疗算法,以治疗亚位移.
- 为了排除特定的相关伤害,如部骨折或骨骨折等.
主要方法:
- 对13名患有下位发位的患者进行了描述性分析.
- 排除标准包括喉骨折,骨骨折和孤立的Chopart骨折移位.
- 收集了流行病学,临床和放射学数据,以告知治疗策略.
主要成果:
- 患者的中位数年龄为48.5岁,男性占主导 (69.23%).
- 中间位移 (9例) 比侧面位移 (4例) 更常见.
- 四名患者有开放的脱位 (两个需要截肢),76.93%接受了CT扫描,在10名患者中发现了相关的骨损伤.
结论:
- 部脱位是骨科紧急情况,需要早期减少和固定.
- 跨关节外侧固定是一种适合于开放的亚位移的固定方法.
- 这些伤害带有早期创伤后关节炎的重大风险.
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