保守疗法和手术管理之间的全面比较,用于完全移位和缩小的中轴关节骨骨折
Xiao Han1, Yufu Zhang1, Xigong Zhang2
1Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Capital Medical University, Xicheng District, Beijing, China.
International orthopaedics
|May 7, 2024
概括
完全移位的中轴关节骨折的手术固定提供了较高的结合率和较快的恢复与保守治疗相比. 虽然手术导致更快地恢复工作和改善功能,但应考虑潜在的并发症,如麻木和植入物切除.
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
- 骨折管理 骨折管理
背景情况:
- 中轴关节骨骨折是常见的伤害.
- 治疗选择包括手术固定和保守治疗.
- 对于完全移位和碎碎骨折的最佳管理仍在争论中.
研究的目的:
- 为了比较手术固定与保守治疗对移位中轴关节骨骨折的临床结果.
- 评估工会率,恢复时间和功能结果.
- 评估两个治疗组之间的患者满意度和并发症率.
主要方法:
- 对105名患有中轴关节骨折移位和断裂的患者进行了回顾性研究.
- 55名接受保守治疗的患者与50名接受手术治疗的患者进行了比较.
- 随访时间平均超过20个月,评估结合,不结合,结合时间,功能结果和并发症.
主要成果:
- 手术组的工会率 (98.0%) 与保守 (87.3%) 相比较高.
- 与保守的治疗 (3.69个月) 相比,手术治疗导致结合时间更短 (2.37个月).
- 在手术组中观察到更快的恢复工作,更早的运动范围和力量恢复,尽管麻木和需要切除植入物等并发症的发生率更高.
结论:
- 手术治疗为移位的中轴关节骨骨折提供了更可靠的结合.
- 内部固定导致更快的功能恢复和恢复活动.
- 保守的管理导致了更高的失联率和延迟的恢复.
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