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距离手腕的冠状剪切骨折的结果决定因素
Vasudeva Nagashree1, Jayaramaraju Dheenadhayalan2, Velmurugesan Purnaganapathi Sundaram1
1Department of Orthopaedics and Trauma, Ganga Medical Centre and Hospitals Pvt. Ltd, 313, Mettupalayam Road, Coimbatore, India.
International orthopaedics
|March 19, 2024
概括
解剖缩小是远端腰椎冠状剪切骨折的良好结果的关键. 后部削减会对结果产生负面影响,但稳定固定后的早期动员对于恢复至关重要.
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
- 放射学 放射学是一门学科.
背景情况:
- 距离腰骨的冠状切割骨折是一种罕见且复杂的损伤.
- 使用无头压缩螺丝的内部固定为早期患者动员提供了稳定性.
研究的目的:
- 确定影响放射学和功能结果的因素.
- 为了分析外科治疗的远端骨冠状剪切骨折的结果.
主要方法:
- 对61名接受手术治疗的患者进行了回顾性分析.
- 评估人口统计,骨折细节,手术方法和植入物.
- 使用OES和MEPI进行放射性结果通过X光片和功能性结果的评估.
主要成果:
- 解剖缩小与更好的功能结果和运动范围相关.
- 资本体的后期碎片化导致较差的结果 (p=0.03).
- 骨髓炎,非联合,无血管缩和关节炎是观察到的并发症.
结论:
- 解剖缩小和后部缩小是功能结果的关键决定因素.
- 实现解剖缩小至关重要,即使是延迟呈现.
- 早期动员后固定对于最佳的患者康复至关重要.
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