儿科近道基骨折的结果
John Schutz1, Hannah Korrell, Nicole Look
1From the Department of Orthopedics, University of Colorado, School of Medicine, Aurora, CO (Schutz, Korrell, Look, Lalka, and Sibbel), the Department of Orthopedics, Children's Hospital Colorado, Aurora, CO (Lalka, and Sibbel), and the Department of Orthopedics, Children's Mercy Hospital, Kansas City, MO (Hild, Cleary, and Sinclair).
The Journal of the American Academy of Orthopaedic Surgeons
|March 15, 2024
概括
儿童的关节外近端骨折很少需要手术. 大多数病例可以在非手术情况下进行或不进行闭合缩减 (CR),取得良好的结果.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科创伤 儿童创伤
- 手术手术手术手术手术
背景情况:
- 在儿童中,近接 phalange 的关节外垂体骨折是常见的.
- 目前的标准护理包括减少后3-4周的固定.
- 这项研究评估了管理这些骨折的结果和放射学标准.
研究的目的:
- 为了评估儿科近端法兰克斯基骨折的结果.
- 建立指导管理的放射性标准.
- 评估不同治疗干预措施的有效性.
主要方法:
- 对骨不成熟的患者进行了回顾性审查,这些患者患有近道接骨骨骨折 (2002-2019).
- 收集的数据包括索尔特-哈里斯分类,角度,位移,旋转变形和治疗方法.
- 被排除的骨折与3周的随访,萨尔特-哈里斯III-V,或不充分的记录.
主要成果:
- 分析了634个骨折,分为没有减少,封闭减少 (CR) 和手术 (OP) 组.
- CR和OP组显示出明显的角缩减 (分别为11.8°和19.0°).
- 观察到低旋转失调率 (0.93%),在没有减少和CR组中也有类似的率.
结论:
- 关节外近端法兰克斯并骨折很少需要手术.
- 治疗可以是非手术,有或没有CR,根据变形程度指导.
- 非手术治疗的后果率很低,可以确定治疗参数.
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