动态固定与静态螺丝固定用于Syndesmosis损伤的pronation外部旋转骨折:一个回顾性案例控制研究
1Department of Orthopaedic Surgery, Jeju National University Hospital, Jeju, South Korea.
Malaysian orthopaedic journal
|December 18, 2023
概括
动态固定为脚综合症损伤提供与静态螺丝固定类似的结果,但更具成本效益,并较少出现并发症. 这项研究比较了两种方法在前置-外部旋转骨折.
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:
- 关节综合症伤害往往需要手术干预.
- 静态螺丝固定是当前的标准处理.
- 动态固定旨在恢复自然的综合症功能.
研究的目的:
- 为了比较动态固定与静态螺丝固定对脚综合症损伤的疗效.
- 具体评估位-外部旋转骨折的结果.
主要方法:
- 一项涉及30名动态固定 (DF) 组和28名静态螺丝固定 (SF) 组患者的比较研究.
- 评估了奥勒鲁德-莫兰德脚结果得分,视觉模拟量表和美国骨科足和脚协会得分.
- 分析了放射性结果 (tibiofibular 清晰空间,重叠,中间清晰空间) 和成本效益.
主要成果:
- 在DF和SF组之间,在临床结果 (Olerud-Molander,VAS,AOFAS) 或放射测量方面没有发现显著差异.
- SF组遇到并发症,其中包括两例减速损失和四例螺丝断裂.
- 经期治疗组报告没有并发症,并且在总医院费用方面表现出更高的成本效益.
结论:
- 动态固定产生类似的临床和放射学结果,以静态螺丝固定脚综合症损伤.
- 动态固定是一种更具成本效益的选择,并发症率较低.
- 动态固定是一种潜在的优越治疗前置-外部旋转脚骨折.
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