由于温哥华B2周围假肢关节骨折,修复关节修复术的水泥与无水泥茎
Yuri Lara-Taranchenko1, Josep F Nomdedéu2, Andrés Aliaga Martínez2
1Hospital Universitari Vall d'Hebron, Pg. Vall d'Hebron, 119-129, 08035, Barcelona, Spain. yuri.lara93@gmail.com.
概括
与没有水泥的选择相比,干固定在温哥华B2骨折修复提供更快的恢复和更少的并发症. 这种方法推给老年患者,有可能改善修复关节整形术的结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学是生物材料的科学.
背景情况:
- 温哥华B2周围假肢部骨折往往需要进行干部修改.
- 在水泥和无水泥固定之间做出选择仍然存在争议.
研究的目的:
- 为了在温哥华B2周围假肢骨折的假肢修复中比较水泥与无水泥的茎固定.
主要方法:
- 对30名接受温哥华B2骨折干部交换的患者进行了回顾性研究 (2015-2022年).
- 患者被分为有固和无固固定组.
- 功能结局,住院,手术时间,并发症和死亡率的比较.
主要成果:
- 无水泥茎的并发症率 (62%对34%) 和重新干预率 (45%对6%) 较高.
- 没有工会的比例在无水泥固定时显著更高 (53.8%对17.6%).
- 对于无水泥茎来说,住院时间和完全承重的时间更长.
结论:
- 固化固定可能是温哥华B2关节骨折修复的最佳方案,可能减少并发症和重新干预.
- 固的茎可以促进更快的恢复,而不会影响骨折愈合或患者死亡率.
- 在患有并发病的老年患者中,考虑使用固化固定作为一种不那么激烈的外科选择.
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