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英国复杂脚骨折的流行病学和管理:一个多中心队列研究
T D Stringfellow1, D Coffey1, C Wek1
1King's College Hospital, London, United Kingdom.
Injury
|December 24, 2023
概括
复杂的脚骨折的专门手术技术,如后脚指甲 (HFN/TCC) 和扩展开放缩减内部固定 (ORIF),显示出比标准ORIF更好的并发症概况,特别是在高风险患者中.
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
- 患者结局研究研究结果.
背景情况:
- 复杂的脚骨折涉及显著的并发症,增加了风险.
- 对于这些具有挑战性的案件的最佳管理,证据有限.
- 英国多中心研究复杂脚骨折的流行病学和手术技术.
研究的目的:
- 评估英国复杂脚骨折的流行病学.
- 评估专门手术技术 (HFN/TCC,扩展ORIF) 的使用和结果.
- 为了比较标准ORIF和专业技术之间的并发症率.
主要方法:
- 在英国范围内对成年人远端AO43/AO44骨折与并发症的合作研究.
- 包括来自56个中心的1360名患者.
- 分析患者的人口统计,并发症,手术技术和并发症,并进行倾向匹配.
主要成果:
- 90.2%的患者具有初级固定,主要是标准ORIF (78.9%).
- 专业技术 (HFN/TCC,扩展的ORIF) 显示,在倾向后匹配后,整体并发症率较低.
- 糖尿病患者的伤口并发症率更高,不管是用什么固定方法.
结论:
- 专业技术 (HFN/TCC,扩展ORIF) 为复杂的脚骨折提供了比标准ORIF更好的并发症概况.
- 对早期承重能力的不情愿可能会否定专业技术的感知优势.
- 用关节准备融合的后脚指甲比固定后脚指甲有更多的并发症.
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