固体器官移植接受者的远距离半径骨折的结果
Christopher R Gajewski1, Kevin Y Chen2, Nirbhay S Jain3
1UCLA Department of Orthopedic Surgery, Los Angeles, CA.
The Journal of hand surgery
|December 9, 2023
概括
固体器官移植患者的远半径骨折通常表明骨密度下降. 手术和非手术治疗都产生了良好的结果,但骨质疏松症在这个复杂的群体中未得到充分治疗.
科学领域:
- 整形外科手术 整形外科手术
- 移植医学 移植医学 移植医学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 距离半径骨折 (DRFs) 是常见的骨科损伤.
- 固体器官移植 (SOT) 接受者由于骨代谢变化和免疫抑制药物增加了骨质疏松症和骨质疏松症的风险.
- 在SOT患者中管理DRF具有独特的挑战.
研究的目的:
- 评估SOT患者的DRF手术和非手术治疗结果.
- 为了确定这个人群中骨矿物质密度下降的患病率.
主要方法:
- 在33名SOT患者中对34个DRF进行了回顾性审查 (2013-2022年).
- 排除标准:数据不完整,在机构之外接受治疗.
- 收集的数据:人口统计,临床结果,移植细节,类固醇使用,骨密度.
- 功能性结果通过QuickDASH问卷进行评估.
主要成果:
- 15个骨折通过手术治疗,19个无手术治疗.
- 手术组经历了不良事件:硬件故障,手腕道综合征,肌刺激.
- 非手术组没有报告的并发症.
- 33名患者中有32名患者的骨矿物质密度下降;5名患者因骨质疏松症接受治疗.
结论:
- 在SOT患者中,DRF的管理是复杂的,因为伴随性疾病.
- 骨矿物质密度下降几乎是普遍存在的,并且在患有DRF的SOT患者中未得到充分治疗.
- 无论是外科还是非外科的方法,通常都会导致良好的/优秀的功能结果.
- 在这个队列中,手术耐受性很好,没有严重的并发症.
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