盘子的位置是否会影响中轴关节骨折的结果? 一个多中心分析分析
Isabelle Ruth Buenter1,2, Valerie Kremo3, Frank Johannes Paulus Beeres3,4
1Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, Spitalstrasse, CH-6000, Lucerne, Switzerland. isabelle.buenter@luks.ch.
概括
对于中轴关节骨折,前部和上部涂层都没有显示出植入物移除率或并发症的显著差异. 外科医生应该根据个人偏好做出选择,直到进一步的研究明确了刺激因素.
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:
- 中轴关节骨折是常见的伤害.
- 最佳的手术治疗仍在争论中,前部和上部金作为主要选择.
- 需要移除的植入物刺激是常见的担忧.
研究的目的:
- 为了比较中轴关节骨折的前部与上部涂层.
- 评估由于刺激,并发症率,结合时间和功能结果而导致的植入物切除的差异.
主要方法:
- 168名经过手术治疗的中轴关节骨折患者的回顾性队列研究 (2017-2020年).
- 医院使用前部或上部涂层作为标准.
- 主要结局:由于刺激而切除植入物;次要结局:结合时间,并发症,运动范围.
主要成果:
- 在植入物移除率上没有显著差异 (58.5%的前部与57.1%的上部).
- 类似的感染率 (前部5.7%,上部1.8%) 和结合时间 (中位数为48周而不是52周).
- 肩膀运动范围 (反射前和绑架) 没有显著差异.
结论:
- 目前的证据不支持前面比上层,反之亦然,对于中轴关节骨折的刺激.
- 相当数量的患者因两组患者的刺激而经历了植入物切除.
- 需要进行更大规模的前性研究,以确定导致刺激的因素,并指导最佳的板位.
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