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通过钉钉与板对远距离骨折的管理进行比较研究

Rohit Nath¹, Saurabh Saxena¹, Chetan Singh¹

¹Orthopaedics, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Kanpur, IND.

|December 7, 2023

概括

骨髓内钉 (IMN) 和微创板骨质合成 (MIPO) 均有效治疗远端骨折. 与MIPO相比,IMN显示的感染和脚硬度等并发症较少.

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
生物力学生物力学

背景情况:

远距离骨折是常见的伤害,需要有效的手术管理.
在内钉 (IMN) 和板骨合成 (MIPO) 之间做出选择,需要平衡结合率,功能结果和并发症概况.

研究的目的:

为了比较IMN与MIPO在远端骨折治疗中的疗效.
用美国整形足和脚学会 (AOFAS) 评分来评估功能结果.
评估和比较两个手术方法之间的并发症率.

主要方法:

一项涉及40名患有远端骨折的患者的比较研究.
患者被随机分为两组:20组接受IMN治疗,20组接受MIPO治疗.
在手术后长达一年的定期间隔进行临床和放射性评估.

主要成果:

在IMN (18.45周) 和MIPO (20周) 组之间的平均工会时间没有显著差异 (p > 0.05).
两组都取得了相似的功能结果,IMN的AOFAS平均分数为92.6,MIPO的AOFAS平均分数为91.2 (p > 0.05).
IMN组的并发症明显减少,包括植入物刺激,脚硬度和感染 (p <0.05).

结论:

IMN和MIPO都是远端骨折的可行的手术选择,产生了令人满意的功能结果.
与MIPO相比,IMN与伤口相关并发症的发生率较低.
在选择固定方法时,应考虑IMN可能减少并发症的可能性.

关键词:

在AOFAS的得分中,AOFAS的得分是远距离骨骨折骨折远距离骨骨折内内钉钉的情况锁定涂层的封锁板.伤口并发症伤口并发症

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