开放式减少和板固定,外部固定器,以及对关节内远半径骨折的保守治疗
Mehmet Akdemir1, Ali Īhsan Kiliç2, Cengizhan Kurt3
1Orthopedics, Izmir Ekol Hospital, Izmir, TUR.
Cureus
|February 12, 2024
概括
与保守治疗相比,开放缩减和板应用在关节内偏远半径骨折方面显示出更好的放射性结果. 然而,没有一种方法是普遍优越的,强调这些常见骨折的个性化患者护理.
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
- 放射学 放射学是一门学科.
背景情况:
- 距离半径骨折很常见,关节内类型带来治疗挑战.
- 目前的处理方式包括封闭的减少和造,开放的减少和金,以及外部固定.
研究的目的:
- 为了比较三种治疗方法的临床和放射性结果,用于关节内远半径骨折.
- 评估是否开放式减少和板应用优于其他方法.
主要方法:
- 对164名患有关节内远半径骨折 (AO型B和C) 的成年患者进行了回顾性研究.
- 处理包括封闭的还原造,飞行锁定板和外部固定.
- 放射性评估包括关节踏步,辐射倾斜,辐射高度,飞行倾斜和远端肘部骨折;临床评估使用了手臂,肩膀和手 (Q-DASH) 快速残疾分数.
主要成果:
- 治疗组之间的Q-DASH得分没有统计学上显著的差异.
- 与保守治疗相比,伏拉板固定显示出更好的放射性结果.
- 外部固定显示出比保守治疗更好的飞行倾斜和辐射倾斜;与外部固定相比,飞行板在辐射长度,飞行倾斜和肘部变异方面优越.
结论:
- 个性化治疗决策对于关节内远半径骨折至关重要.
- 没有单一的方法是普遍优越的,但飞板为碎碎骨折提供了出色的放射性结果.
- 并发症包括反射交感性缩,针部位感染和需要切除的植入物刺激.
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