小孩骨折的观察与造治疗:一项前性试点研究
Lauren Hyer1, Christopher Bray2, Edward Bray2
1Shriners Hospitals for Children - Greenville, Greenville, South Carolina.
Journal of surgical orthopaedic advances
|January 22, 2024
概括
幼儿骨折,常见的儿科伤害,往往可以安全地仅通过观察而不是造来治疗. 这种方法显示了类似的愈合时间和结果,支持儿童骨折护理的共享决策.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤学 儿科创伤学
- 儿科整形外科 儿科整形外科
背景情况:
- 幼儿骨折是普遍存在的儿科下肢损伤.
- 传统的管理涉及造固定,尽管这些骨折的固有稳定性.
- 稳定的幼儿骨折需要造的必要性需要进行调查.
研究的目的:
- 与传统造相比,仅通过观察来评估治疗幼儿骨折的疗效和安全性.
- 评估不同治疗方案下患有幼儿骨折的儿科患者的行走时间和愈合结果.
主要方法:
- 一项前性试点研究,采用随机和观察治疗手臂.
- 参与者被分配到短腿造或非固定观察.
- 健行者通过21天的日志进行监测,并在3周和12周进行放射性随访.
主要成果:
- 招募了21名儿科患者;13人接受了造,8人没有固定.
- 造和非造组之间的行走时间是可比的 (p = 0.260).
- 所有的骨折都没有并发症地愈合,没有患者最初接受观察,需要转换为造.
结论:
- 仅仅是观察似乎是一种安全有效的替代品,用于造婴儿的骨折.
- 对于幼儿骨折的治疗决策应该涉及医疗保健提供者和家长之间的共同决策.
- 非手术治疗可以导致儿科骨折的良好结果.
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