用压缩带固定不动与远距离半径骨折的前臂,通过开放的减少和锁定板进行操作. 随机临床试验随机临床试验
J I Miró1, A García Vaquero-Pina2, A Sierras Cristiá3
1Unidad de Miembro Superior, Clínica de la Mano de Buenos Aires (CLIMBA), Buenos Aires, Argentina.
Revista espanola de cirugia ortopedica y traumatologia
|December 1, 2023
概括
用前臂或压缩带进行术后固定,对于用锁定板治疗的远端半径骨折的结果没有显著差异. 需要对更多患者进行进一步的研究,以证实对外科外围半径骨折的这些发现.
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
- 骨折管理 骨折管理
背景情况:
- 缺乏关于手术后远端半径骨折的术后固定化前性研究.
- 需要对固定装置的类型和持续时间制定统一的标准.
- 目前的研究涉及前臂与压缩带不动化的比较.
研究的目的:
- 为了比较远半径骨折的功能和放射性结果,用内部固定和前臂或压缩带进行治疗.
- 评估不同固定方法对疼痛,运动范围和骨折愈合的影响.
- 为术后管理提供基于证据的建议.
主要方法:
- 随机临床试验与两个平行组.
- 用锁定板进行内部固定,然后进行为期3周的固定 (与带).
- 功能性 (VAS,PRWE,DASH,MRS,运动范围) 和放射性 (联合时间,位移) 结果在3,6和12周评估.
主要成果:
- 评估了62名患者 (27张带,35张 splint).
- 在两个组中,从术前到术后期间,放射学和功能变量显著改善.
- 对于任何评估的功能性或放射性变量,在前臂和压缩带组之间没有发现统计学上显著的差异.
结论:
- 在用锁板治疗的远半径骨折中,没有观察到前臂和压缩带固定之间的临床或放射性差异.
- 需要更大的患者队列和延长的随访来概括发现.
- 需要进一步的研究来确定最佳术后管理的最终标准.
关键词:
距离半径骨折 距离半径骨折国际定位 国际定位远距离无线电断裂的断裂固定化 固定化 固定化在动员过程中.内部固定方式 内部固定方式飞行板块 (Placa volar) 是一个飞行板块.状板是状板的一个组成部分.更多相关视频
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