[翻译文章] 用压缩带固定不动与远距离半径骨折的前臂,通过开放的减少和锁定板进行操作. 随机的临床试验随机的临床试验
J I Miró1, A García Vaquero-Pina2, A Sierras Cristiá3
1Unidad de Miembro Superior, Clínica de la Mano de Buenos Aires (CLIMBA), Buenos Aires, Argentina.
Revista espanola de cirugia ortopedica y traumatologia
|January 17, 2024
概括
对于用内部固定治疗的远半径骨折,用前臂或压缩带固定不动,没有显著的功能或放射性差异. 需要进一步的研究来确定最佳的术后管理标准.
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
- 医疗器械评估 医疗器械评估
背景情况:
- 缺乏对外半径骨折的术后固定进行前性研究.
- 需要关于固定类型和持续时间的统一标准.
- 目前的研究通过比较两种常见的固定方法来解决这个差距.
研究的目的:
- 用内部固定治疗的远半径骨折的功能和放射性结果进行比较.
- 评估固定使用前臂与压缩带3周的动不动.
- 评估固定方法对患者康复和骨折愈合的影响.
主要方法:
- 随机临床试验与两个平行组.
- 用锁定板固定内部,然后固定不动.
- 3,6和12周的随访,测量功能性 (疼痛,运动范围,PRWE,DASH,MRS) 和放射性变量 (结合时间,位移,缩短,腰椎变异).
主要成果:
- 评估了62名患者 (27张带,35张 splint).
- 在每组手术后观察到放射学和功能变量的显著改善.
- 对于任何评估的功能性或放射性结果,在线和带组之间没有发现统计学上显著的差异.
结论:
- 在手术治疗的远半径骨折中,在前臂和压缩带固定之间没有发现临床或放射性差异.
- 需要更大的患者队列和延长的随访来概括发现.
- 需要进一步的研究来确定最佳术后管理的最终标准.
关键词:
距离半径骨折 距离半径骨折国际定位 国际定位远距离无线电断裂的断裂固定化 固定化 固定化在动员过程中.内部固定方式 内部固定方式飞行板块 (Placa volar) 是一个飞行板块.状板是状板的一个组成部分.更多相关视频
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