立场陈述:对近腰骨骨折的管理
Peter Lapner1, Ujash Sheth2, Diane Nam2
1From the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy) plapner@toh.ca.
这项研究比较了60岁以上成年人近腰骨折的手术治疗方法,评估了功能结果和重新手术率. 结果旨在改善患者咨询和外科医生对手术选择的知识,以便更好地做出决策.
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
- 老年医学 老年医学
背景情况:
- 靠近腰椎骨折在老年人中很常见.
- 最佳的手术管理仍在争论中,影响患者的治疗结果.
研究的目的:
- 为了比较60岁以上患者近腰骨折的手术治疗的功能结果和重新手术率.
- 为手术决策提供基于证据的指导.
主要方法:
- 在2022年2月之前对英语随机对照试验 (RCT) 进行系统审查.
- 在 MEDLINE,Embase 和 Cochrane 数据库中进行了搜索.
- 包括比较:手术与非手术,ORIF (锁定板与内指甲),关节整形与ORIF,以及逆肩关节整形与半关节整形.
- 使用GRADE方法评估证据质量.
主要成果:
- 评估功能结果 (例如,恒定得分),疼痛 (VAS) 和重新手术率.
- 综合了RCT的数据,以提供治疗建议.
- 评估了证据的质量和建议的强度.
结论:
- 该指导方针旨在加强患者咨询关于近端骨骨折的手术选择和结果.
- 它旨在提高外科医生对各种外科手术方法的知识.
- 数据可以支持患者和提供者共享决策工具.
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