相当的骨折模式表明,在外旋IV脚骨折中,术后功能结果较差
Wangsheng Wu1,2, Bingsheng Liu1, Chengwei Wang2
1Orthopaedics, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, CHN.
Cureus
|March 4, 2024
概括
在骨折模式组中,与骨折等效组相比,pronation-external rotation IV脚骨折的结果更好. 手术治疗导致了两种PER IV脚损伤类型的令人满意的功能恢复.
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
- 脚骨折 脚骨折 在脚骨折
背景情况:
- 脚骨折是旋转脚损伤的最严重的类型. 旋转-外部旋转IV (PER IV) 的脚骨折代表了最严重的类型.
- 虽然手术治疗产生了良好的功能恢复,但比较不同骨折模式及其等效的结果仍未得到充分研究.
研究的目的:
- 为了比较PER IV脚骨折及其同等骨折模式之间的短期结果.
- 根据骨折呈现情况,评估功能恢复和并发症的差异.
主要方法:
- 对41名PER IV脚损伤 (2018-2022) 的回顾性研究,至少进行一年的随访.
- 结果措施包括美国整形足和脚学会 (AOFAS) 脚后脚尺度,脚运动范围 (ROM) 和疼痛视觉模拟尺度 (VAS).
- 还评估了术后并发症和患者人口统计数据.
主要成果:
- 一年后,两个骨折组均表现出令人满意的AOFAS分数 (骨折:96.72,相当于92.63) 和低的VAS疼痛分数 (骨折1.45,相当于1.38).
- 在这两组中,脚ROM也令人满意,在背部屈曲或脚部屈曲方面没有显著差异.
- 在术后没有观察到脚关节减小或综合症的损失.
结论:
- 与骨折等效模式相比,PER IV脚损伤的骨折模式呈现出更好的预后.
- 手术干预确保了稳定的减轻和满足的功能结果,对于两个PER IV骨折类型.
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