在患有轻微的手术前症状的患者中,我们是否应该总是进行状骨非结合手术?
Abigael Cohen1, Max Reijman1, Ruud W Selles2,3
1Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
The Journal of hand surgery, European volume
|March 15, 2024
概括
在患有轻微症状的患者中,手术治疗脊柱骨折非结合可能会导致不满和功能障碍. 外科医生应该在术前咨询期间讨论诸如不良结果和骨关节炎等风险.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 创伤外科 手术 创伤外科
背景情况:
- 骨骨折非结合是手腕受伤的常见并发症.
- 外科干预通常被认为是非联合的,但在手术前症状最小的患者中,结果需要仔细评估.
研究的目的:
- 评估在患有轻微手术前症状的患者中,与手术治疗脊柱骨折非结合症相关的潜在缺点和并发症.
主要方法:
- 包括35名患有骨骨折非结合和轻微的手术前症状的患者队列,根据患者评级手/手腕评估问卷的定义.
- 评估的结果包括患者特有的功能限制,术后功能状态,患者满意度和重新手术率.
主要成果:
- 很大一部分患者在手术后遇到患者特定活动的困难.
- 9%的人报告术后功能结果更差,34%的人对治疗表示不满,9%的人需要重新手术.
- 该研究强调了持续功能缺陷的风险和需要进一步的手术干预的必要性.
结论:
- 在患有轻微的手术前症状的患者中,手术治疗骨骨折不合并,会带来低于最佳功能结果的风险,患者不满,以及需要重新手术的风险.
- 手术前咨询必须全面解决潜在的功能不良结果,持续的日常障碍,手腕关节炎的发展和患者不满的可能性.
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