临床上显著的治疗延迟在儿科甲状腺骨折
J Taylor Lackey1, Paige L Seiler2, Brian R Lee3
1Department of Orthopaedic Surgery, University of Missouri-Kansas City, Kansas City, MO.
The Journal of hand surgery
|December 9, 2023
概括
用造治疗的晚期儿科骨骨折显示,如果损伤后21天或更长时间出现,则失败率更高. 然而,造仍然是一个可行的选择,具有可比的愈合时间.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
背景情况:
- 儿科骨头骨折往往是延迟治疗的,其中8-29%的骨折是晚期出现的.
- 目前用于推迟的儿科骨骨折中体固定的指示还没有得到很好的定义.
- 治疗延迟的定义是事,预测造成功的因素是不清楚的.
研究的目的:
- 为了确定临床和放射性因素,预测成功的造儿科骨折.
- 为了确定小儿骨骨折的临床显著的治疗延迟.
- 评估造作为延迟儿科骨骨折的治疗选择.
主要方法:
- 在一家医院对254例小儿骨骨折进行了回顾性分析.
- 评估了骨折特征,囊性变化,治疗和愈合率.
- 切点和卡普兰-梅尔分析确定了造失败和造时间的预测因素.
主要成果:
- 延迟≥21天预测了儿科骨骨折中的造失败.
- 延迟骨折 (75.0%) 的合率低于急性骨折 (97.0%).
- 在急性和延迟治疗组之间,造时间的中位数没有显著差异.
结论:
- 创伤后≥21天出现的小儿甲状腺骨折增加了造失败的风险.
- 造固定是延迟的儿科骨骨折的一个合理的治疗选择.
- 尽管失败率较高,但延迟造的结合率很高,处理时间相似.
关键词:
造 造 造 造骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.没有工会的非工会.儿科 儿科 儿科 儿科形形形形形形形更多相关视频
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