脚关节镜术不会提高脚骨折的并发症率
Roberto Zambelli1, Addller Oliveira Fagundes2, Thiago Szvarça Arêas3
1Faculdade de Ciências Médicas de Minas Gerais, Rua Vereda, 50 - Torre 2 / Ap 2001, Nova Lima, MG 34006-077, Brazil.
概括
对脚骨折的关节镜辅助并没有增加并发症率. 这种微创手术在治疗不稳定的骨折和相关伤害方面具有优势,整体并发症率低,为5.8%.
科学领域:
- 整形外科手术 整形外科手术
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
- 创伤学 创伤学 创伤学
背景情况:
- 脚骨折是常见的下肢损伤,需要进行外科手术以消除不稳定性.
- 脚关节镜术在治疗脚骨折方面具有潜在的优势.
研究的目的:
- 评估关节镜辅助对手术治疗脚骨折并发症率的影响.
- 评估关节镜术在治疗与脚骨折相关的关节内损伤方面的有效性.
主要方法:
- 在2018年12月至2021年12月期间治疗的171个成年脚骨折的回顾性流行病学分析.
- 患者接受了通过关节镜辅助的手术治疗.
- 术后并发症被分为重大或轻微的.
主要成果:
- 总共包括了171名患者 (76名女性,95名男性;平均年龄为41.9岁).
- 综合症和三角形带损伤是常见的 (分别为55.0%和33.7%).
- 整体并发症率为5.8% (2大并发症,8小并发症).
结论:
- 在关节骨折手术中,关节镜辅助与整体并发症率的增加无关.
- 这项研究确定了冠状,综合性和带带损伤之间的统计关系.
- 关节镜技术促进了关节内病理的诊断和治疗,与开放手术相比,可能降低了感染率.
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