两个半径末端同时发生的断裂是否代表了明显的断裂模式?
Ahmed Majid Heydar1, Mehmet Burak Yalçın1
1Orthopedics and Traumatology Clinic, Memorial Bahçelievler Hospital, İstanbul, Türkiye.
概括
同时的ipsilateral远半径和半径头骨折是不常见的高能损伤. 手术固定与辐射头部重建和飞涂层产生良好的结合和功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 上肢受伤 上肢受伤
背景情况:
- 同时发生的ipsilateral远半径和半径头骨折很少见,但可能很严重.
- 对于治疗这些复杂的伤害存在有限的指导方针,通常依赖于个人经验.
研究的目的:
- 为了提高人们对这种特殊的骨折模式的认识.
- 分析损伤的机制,治疗策略和功能结果.
主要方法:
- 对11名患者进行了回顾性研究,这些患者患有截断的ipsilateral近端和远端半径骨折 (2016-2021年).
- 对人口统计,损伤机制,手术方法和并发症的分析.
- 对骨折愈合和远距离半径参数的放射评估.
- 使用视觉模拟尺度 (VAS) 和手臂,肩膀和手 (QuickDASH) 快速残疾分数的临床评估.
主要成果:
- 所有11名患者都有Mason III辐射头和AO型C远半径骨折.
- 手术治疗包括在桌面上进行放射性头部重建和固定远半径的飞行锁定板.
- 在平均32个月的随访期间,所有骨折都实现了骨结合,平均VAS和QuickDASH得分均为有利.
- 没有报告任何重大并发症.
结论:
- 这种独特的伤害模式通常是高能量的创伤造成的.
- 对手腕和肘部进行彻底的临床和放射性评估至关重要.
- 带有辐射头部重建和飞行板的手术管理提供了良好的结果.
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