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塔拉部骨折与相关的侧脚和脚骨折有较高的血管缩的风险

Arjun Srinath¹, Wyatt G S Southall², Mark R Nazal²

¹Department of Orthopaedic Surgery, University of Miami, Miami, FL.

Journal of orthopaedic trauma

|March 8, 2024

概括

与孤立的部骨折 (ITN) 相比,带有额外的脚或脚骨折 (TNIFAFs) 的部骨折显著增加了无血管亡 (AVN) 的风险. 这一发现凸显了在治疗规划中考虑组合伤害的重要性.

科学领域:

整形外科手术整形外科手术
创伤护理的护理人员.
放射学放射学是一门学科.

背景情况:

塔拉部骨折是一种复杂的损伤.
血管性亡 (AVN) 是部骨折的一个严重并发症.
同时发生的ipsilateral脚和/或脚骨折 (TNIFAFs) 对AVN发生率的影响与孤立的耳骨折 (ITNs) 相比,尚未完全理解.

研究的目的:

为了比较TNIFAFs与ITNs患者中AVN的发病率.
为了确定与AVN相关的风险因素,在塔拉尔部骨折.

主要方法:

一级创伤中心的回顾性队列研究.
包括2008-2017年骨成熟的患者,他们的喉骨折发生在2008-2017年.
骨折被归类为ITN或TNIFAF,AVN是主要的结果.

主要成果:

分析了115名患者,52名TNIFAF,63名ITN.
在TNIFAF患者中,AVN发生在46%的患者中,而在ITN患者中,AVN发生在30%的患者中 (P=0.078).
调整后的分析显示,TNIFAF组中AVN的几率显著更高 (OR2.43,P=0.047).

结论:

与ITN相比,TNIFAF与发展AVN的可能性明显更高.
在调整霍金斯分类和其他预后因素后,这种关联仍然存在.
这些发现强调了结合的舌头和脚/脚损伤的预后意义.

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