在年长的青少年运动员中治疗严重缩短或缩小的关节骨折
David D Spence1,2, Philip L Wilson3,2, Andrew T Pennock4,2
1Department of Orthopaedic Surgery and Biomedical Engineering, University of Tennessee Health Science Center - Campbell Clinic, Memphis, Tennessee, USA.
The American journal of sports medicine
|January 19, 2024
概括
对于青少年运动员中严重的关节骨折,手术与非手术治疗相比,在并发症或患者报告的结果方面没有任何优势. 非手术治疗为这些运动员提供了出色的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 青少年健康 青少年健康
背景情况:
- 以前的研究表明,对于一般青少年中轴关节骨折,没有明确的外科治疗益处.
- 青少年运动员中碎裂或严重缩短骨折的结果仍未得到充分探索.
研究的目的:
- 为了在老年青少年运动员中比较手术与非手术治疗中减少和/或严重缩短的关节骨骨折.
- 评估并发症,恢复运动 (RTS) 时间和患者报告的结果 (PRO).
主要方法:
- 一项前性的多中心队列研究 (第二级证据) 分析了136名运动员 (14-18岁).
- 进行了切断或显著缩短 (≥25毫米) 关节骨骨折的子队列的比较.
- 结果包括2年后的并发症,RTS和PRO,并对移位进行统计控制.
主要成果:
- 在手术组和非手术组之间,在非联合,失联,折断或重大并发症方面没有显著的两年差异.
- 操作组的运动回归速度更快 (10.3周对13.5周).
- 在控制移位后,治疗组之间没有发现PRO的差异.
结论:
- 与假设相反,手术治疗在青少年运动员的严重关节骨折中没有产生更好的结果.
- 对于这些特定的伤害,非手术治疗实现了同样出色的结果.
- 在这个人群中,非手术治疗是结碎/缩短的关节骨折的可行选择.
关键词:
青少年 青少年 青少年 青少年运动员运动员运动员关节骨 关节 关节骨 关节骨骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.结果就是结果.更多相关视频
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