关闭关节骨骨折的手术管理相关的趋势和因素
Meera M Dhodapkar1, Maxwell Modrak, Scott J Halperin
1From the Yale Department of Orthopaedics and Rehabilitation, New Haven, CT.
概括
关节骨骨折的手术治疗正在增加,12.1%的患者接受开放式缩小和内部固定. 诸如骨折位置和诊断年份等因素会影响手术决定.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理的护理人员.
- 医疗服务研究 医疗服务研究
背景情况:
- 关节骨骨折是常见的伤害.
- 从历史上来看,非手术治疗,但手术指示越来越多.
- 最近手术管理的趋势没有得到充分的记录.
研究的目的:
- 描述十年来关节骨骨折的手术治疗趋势.
- 确定与手术与非手术治疗相关的因素.
主要方法:
- 成年关节骨骨折患者 (2010-2020年) 的回顾性分析.
- 手术管理定义为在90天内进行开放式减少和内部固定.
- 多变量分析以评估手术管理的预测因素.
主要成果:
- 在50,980名患者中,有12.1%接受了手术治疗.
- 手术比例显著增加,从7.4% (2015) 增加到13.9% (2020).
- 手术的预测因素包括晚些时候的诊断年份,特定的骨折位置 (轴,胸) 和中西部地区.
结论:
- 越来越少的关节骨骨折接受手术治疗.
- 临床和非临床因素都会影响手术管理决策.
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