经过手术治疗的远端辐射骨折的并发症
Sarah H Townsley1, Nicholas Pulos1, Alexander Y Shin1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
The Journal of hand surgery, European volume
|February 5, 2024
概括
远端辐射骨折是常见的上肢损伤. 仔细的手术规划和患者选择对于缓解关节炎,神经问题和硬件问题等并发症至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 上肢骨折 上肢骨折
背景情况:
- 远端辐射骨折是最常见的上肢骨折.
- 大约三分之一的成年远端辐射骨折需要手术治疗.
- 术前,术后以及短期,中期或长期都可能出现并发症.
研究的目的:
- 概述与远端辐射骨折的手术治疗相关的并发症的范围.
- 根据时间 (术前,术后) 和持续时间 (近期,中期,长期) 来分类并发症.
- 强调仔细规划,治疗和患者选择在减轻并发症方面的重要性.
主要方法:
- 关于远端辐射骨折治疗并发症的文献和临床经验的审查.
- 根据治疗方式,时间和受影响的结构来分层并发症.
- 确定与手术干预相关的常见和重大并发症.
主要成果:
- 常见的并发症包括肌问题,慢性区域疼痛综合征 (CRPS),手足道综合征,神经病变,隔间综合征,错综合症,固定失败,症状硬件,关节炎,硬和感染.
- 并发症根据所采用的特定手术技术而有所不同.
- 早期和晚期并发症都会对患者的治疗结果产生重大影响.
结论:
- 远端辐射骨折的手术治疗存在各种并发症的风险.
- 积极主动的策略,包括仔细规划,适当的治疗选择和仔细的患者评估是必不可少的.
- 有效的管理旨在尽量减少这些潜在不良事件的发生率和严重程度.
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