未分类的骨骨折:它们真的存在吗?
Mohammad Kamal Abdelnasser1, Bahaaeldin Ibrahim2,3, Mostafa A Thabet2
1Orthopedic Department, Assiut University Hospital, Assiut, Egypt. Abdelnasser.m.k@aun.edu.eg.
概括
对于骨骨折的Letournel分类并不完全包括,该研究中的9.3%的骨折是无法分类的. 这些罕见的模式可能需要专门的治疗方法.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 放射学 放射学是一门学科.
背景情况:
- 莱托内尔分类是骨骨折的标准.
- 然而,一些骨骨折不符合现有的类别.
- 这项研究调查了这些未分类的骨折.
研究的目的:
- 为了确定未分类的骨骨折的发生率.
- 为了描述这些罕见的骨折的模式.
- 解释为什么它们被认为在Letournel系统中是不可分类的.
主要方法:
- 追溯连续的案例系列.
- 从2016年至2017年审查了236个骨骨折.
- 两名外科医生的分类,高级作者解决了差异.
主要成果:
- 在236个骨折中,有22个 (9.3%) 无法按照莱图内尔标准进行分类.
- 识别的模式包括纯四边形板块,腹部突起,关节冲击和组合骨折.
- 最常见的未分类模式是"T与后壁" (63.8%的未分类病例).
结论:
- 几种骨骨折模式不属于Letournel分类.
- 这些独特的骨折可能需要量身定制的手术方法和固定技术.
- 修改或分类Letournel系统可以适应这些模式.
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