侧板位移的潜在问题和解决方案,用于后侧侧骨平原骨折
Zhenghui Hu1, Weizhi Ren1, Wen Zhang2
1Department of Orthopedics, The Second Affiliated Hospital of Soochow University, No. 1055, Sanxiang Road, Suzhou, 215004, Jiangsu Provine, China.
Journal of orthopaedic surgery and research
|December 22, 2023
概括
使用侧锁压板 (LCP) 后置的后侧锁压板 (PTPF) 骨折治疗显示出良好的结果. 然而,并非所有PTPF患者都适合,并且可能需要额外的螺丝来保持稳定.
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:
- 后侧骨平原骨折 (PTPF) 存在治疗方面的挑战.
- 侧锁压缩板 (LCP) 后置的有效性和可行性需要进一步研究.
研究的目的:
- 为了评估PTPF的LCP延期的临床结果.
- 评估LCP延期的解剖学可行性.
- 分析生物力学稳定性和潜在的并发症.
主要方法:
- 对39名PTPF患者的回顾性分析 (A组:用2个螺丝后置;B组:不用1个螺丝后置).
- 评估手术持续时间,失血,放射性参数 (LTPA,LPSA),骨折崩,ROM和膝盖得分.
- 在健康的膝盖进行CT测量,以评估可行性.
- 在不同的负载下对三种固定模型进行有限元分析.
主要成果:
- 组之间可比的手术持续时间和血液损失.
- 组A显示出优异的放射性结果,功能评分,以及减少骨折崩.
- CT扫描显示在72%的健康膝盖中可行性;生物机械分析证实稳定性.
- 在这两组中,并发症是最小的.
结论:
- 用两根螺丝对LCP进行延期,对PTPF产生了令人满意的临床和生物力学结果.
- 解剖学和特定于患者的因素可能会限制应用.
- 当LCP延期不可行时,可能需要使用前后紧张螺丝进行替代固定.
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