在关节骨轴骨折的ORIF失败后,双板固定的有用性
Seung Hun Woo1, Jung Yun Bae1, Sung Won Jung1
1Department of Orthopedics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, 20 Geumo-ro, Mulgeum-eup, Yangsan, 626-770, Republic of Korea.
概括
双板固定是失败的关节骨轴骨折手术的成功治疗方法,导致良好的骨结合和改善肩膀功能. 这种方法在初始固定失败后的复杂病例中提供了可行的手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
背景情况:
- 关节骨轴骨折是常见的伤害.
- 失败的开放缩减和内部固定 (ORIF) presents一个手术挑战.
研究的目的:
- 为了评估双板固定在失败的关节骨轴骨折手术的临床和放射性结果.
主要方法:
- 14名因关节骨轴骨折而失败的ORIF患者接受了双板固定.
- 使用了3.5毫米的锁定压缩板和全移植骨.
- 评估了临床结果 (VAS,UCLA,ASES分数,运动范围) 和放射性结合.
主要成果:
- 所有患者都成功实现了骨结合,平均时间为16.7周.
- 在肩膀运动范围 (屈曲,内部/外部旋转) 中观察到显著改善.
- 在手术后,VAS,ASES和UCLA肩部得分的统计学上显著改善.
结论:
- 双板固定证明了失败的关节骨轴骨折ORIF的良好的临床和放射性结果.
- 对于先前固定失败的复杂病例来说,这是一个推的外科选择.
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