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甲手腕骨折修复:早期复手率和特征

Benjamin Miltenberg¹, Daniel Nemirov¹, Hassan Siddiqui¹

¹Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA USA.

Journal of hand surgery global online

|February 5, 2024

概括

甲手腕骨折手术的复手率为8.0%,主要是在2.1个月内去除硬件. 这些数据有助于管理患者对手术后手腕骨折修复结果的期望.

科学领域:

整形外科手术整形外科手术
手术手术手术手术手术
创伤外科手术创伤外科

背景情况:

甲手腕骨折是常见的需要手术干预的手部损伤.
关于经过甲手腕修复后的重新手术率和原因的数据有限.

研究的目的:

为了确定手腕后骨折的手术治疗后早期重新手术的速度和情况.
为了确定影响手腕后骨折手术后重新手术的因素.

主要方法:

在2017年至2021年间,对499名患有孤立的,急性甲手腕骨折的患者进行了回顾性审查,这些患者接受了手术治疗.
收集的数据包括人口统计,骨折类型,手术技术和重新操作的细节.

主要成果:

观察到8.0% (40/499) 的未计划的早期重新手术率,平均随访时间为4.2个月.
大多数重复手术 (33/40) 是为了症状性硬件切除,平均在手术后2.1个月发生.
甲手臂轴骨折的重复手术率低于其他位置;开放的减少内部固定的重复手术率高于皮肤固定.

结论:

该研究发现,手术后手腕骨折固定术的早期重新手术率为8.0%,主要是由于症状硬件.
这些发现为患者咨询提供了关键的数据,这些数据涉及手腕下骨折手术后的期望.

关键词:

硬件移除硬件移除甲手腕骨折甲手腕骨折甲手腕骨折甲腕骨的修复甲腕骨的修复恢复运行重新启动

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