单皮与双皮板固定用于中轴关节骨骨折
Ezequiel Ernesto Zaidenberg1, Luciano Andrés Rossi2, Federico Francisco1
1Anatomy Department, School of Medicine, University of Buenos Aires, Argentina.
Injury
|December 24, 2023
概括
单皮质和双皮质锁板在年轻患者中轴关节骨骨折方面表现出类似的优异结果. 这两种固定方法都提供了100%的骨巩固和高回归活动率,并发症很少.
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
- 生物医学工程 生物医学工程
背景情况:
- 中轴关节骨折是常见的伤害,特别是在年轻,活跃的个体.
- 预定轮的锁板经常用于内部固定.
- 单皮和双皮螺丝固定之间的选择仍然是调查的主题.
研究的目的:
- 为了比较单皮层与双皮层固定用于中轴关节骨骨折的功能和放射性结果.
- 在这个患者群体中评估预轮锁板的有效性.
- 评估并发症率和恢复工作和运动.
主要方法:
- 未来的多中心研究涉及45名中轴关节骨折患者.
- 使用预轮锁板进行开放式缩小和内部固定.
- 双皮层 (25名患者) 和单皮层 (20名患者) 螺丝固定之间的比较.
- 在6个月和12个月使用Constant,Quick-DASH和SANE分数评估功能结果.
- 对骨折巩固的放射性评估和并发症的记录.
主要成果:
- 在单皮层和双皮层组中100%的骨折巩固.
- 在6个月和12个月的组之间,功能评分 (常数,快速DASH,SANE) 没有显著差异.
- 很高的回归工作率 (97%) 和回归体育 (92%).
- 整体并发症率为13%,固定类型之间没有显著差异.
结论:
- 单皮质和双皮质锁定板在年轻,活跃的患者中,对于移位的中轴关节骨折,提供了出色的功能和放射性结果.
- 单皮固定是一种可行的替代方案,可能降低神经血管并发症的风险.
- 预轮锁板提供了可靠的治疗选择,患者满意度高,并恢复了受伤前的活动.
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