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在半径的高能距离断裂中是否需要手腕道释放?

Muhammed Kazez¹, Anil Agar², Sefa Key³

¹Department of Orthopedics and Traumatology, Elazıg Fethi Sekin City Hospital, Elazığ, TUR.

|March 4, 2024

概括

这项研究发现,高能耗远半径骨折的结果没有显著差异,这些骨折与手腕道释放或不释放治疗. 预防性手腕道释放可能有利于特定的高风险患者,但延迟治疗过渡性手腕道综合征并没有任何好处.

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:

高能量的远半径骨折 (DRFx) 可以伴随或导致手腕道综合征 (CTS).
对并发DRFx和CTS的最佳管理策略仍在讨论中.
状板骨质合成是DRFx的常见治疗方法.

研究的目的:

为了比较DRFx治疗的临床结果与飞板骨质合成和手掌道释放 (CTR) 与DRFx治疗的飞板骨质合成单独.
评估预防与延迟CTR在患有高能DRFx和相关CTS的患者中的疗效.

主要方法:

在2021年1月至2023年1月期间,对成年患者 (≥18岁) 进行了回顾性评估,这些患者接受了高能DRFx治疗,并进行了飞板骨质合成.
纳入标准:通过修改的亨利切口进行飞板骨质合成,通过经典的单独切口进行CTR.
结果测量:手动力计,视觉模拟尺度 (VAS) 评分,以及在第六个术后周的身体检查结果.

主要成果:

在手握强度或VAS得分的统计学上显著的差异没有观察到在手术后六周接受急性CTS和亚急性CTSCTR的患者之间 (p>0.05).
这项研究的重点是比较了接受并发CTR和不接受CTR的患者之间的结果.

结论:

在同一会话期间的预防性CTR可能对某些高能量DRFx患者具有高风险的CTS有益,可能防止治疗延迟.
在亚急性门诊随访期间发现的过渡性CTS的CTR执行似乎没有改善临床结果.

关键词:

卡尔帕道释放的释放方式带道综合征是什么意思高能量的高能量.板块骨质合成板块骨质合成半径远端骨折骨折半径远端骨折

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