我们是否需要修复青少年的关节骨骨折?
Kbl Lim1, R A Olandres1, X Cheow1
1Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore.
Malaysian orthopaedic journal
|December 18, 2023
概括
青少年关节骨骨折的非手术治疗产生了很好的结果,没有报告的非工会. 这种方法确保了良好的骨折愈合,充分的肩膀运动范围,及时恢复活动.
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:
- 由于保守治疗的并发症,成人关节骨骨折的手术固定正在增加.
- 在青少年关节骨骨折管理中也观察到类似的趋势.
- 这项研究评估了青少年的非手术结果.
研究的目的:
- 评估青少年关节骨骨折的非手术治疗结果.
- 为了识别与非手术治疗相关的并发症.
- 将结果与手术干预趋势进行比较.
主要方法:
- 追溯性,单一机构研究.
- 包括关闭的,孤立的关节骨骨折的青少年 (13-17岁) (1997-2015).
- 审查了联合时间,运动范围,恢复活动和并发症的临床记录;分析了骨折特征的放射图.
主要成果:
- 包括115名患者 (88%是男性);88%的中三骨折.
- 放射性结合的平均时间为7.8周;没有发生非结合.
- 在6.6周和11.4周的时间内,肩部获得了完全的运动范围和恢复活动;报告了5次折断和1例疼痛.
结论:
- 非手术治疗对于青少年关节骨骨折是有效的.
- 期待在骨折结合,肩膀ROM和恢复活动方面取得良好结果.
- 手术稳定应该保留给绝对的指示.
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