在功能性支架后发生的Iatrogenic开放的部轴骨折
Stephen A Doxey1,2, Megan M Sorich3, Sarah C Abraham4
1Department of Orthopaedic Surgery, TRIA Orthopaedic Institute, Bloomington, MN, USA.
Archives of orthopaedic and trauma surgery
|May 14, 2024
概括
骨轴骨折的功能支架可以导致阳性开口骨折,这是一个罕见但严重的并发症. 在使用这种治疗方法之前,医生应该仔细考虑患者的因素,如年龄,并发病症和跌倒史.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
背景情况:
- 功能支架是关闭部轴骨折的常见治疗方法.
- 功能性支架后,Iatrogenic转化为开放骨折的情况没有得到充分的证据.
研究的目的:
- 描述一系列患者的病例,这些患者在初始治疗功能支架后出现了部轴骨折.
- 为了确定与这种并发症相关的因素.
主要方法:
- 在3个1级创伤中心的回顾案例系列.
- 包括患有部轴骨折的患者,最初使用功能支架治疗,然后转化为开放骨折.
- 评估结果包括死亡率,转化时间,需要进一步的手术和骨结合.
主要成果:
- 8名患者符合纳入标准,平均年龄为65岁.
- 共同的特征包括以前的跌倒,视力障碍,痴呆症和脑血管事故.
- 37.5%的患者在1.8年内死亡;37.5%患有痴呆症.
结论:
- 功能支架后从关闭转换为开放的部轴骨折是一种严重的并发症.
- 危险因素包括:低BMI,有过跌倒史,视力障碍,痴呆症,65岁以上,药物滥用等.
- 在考虑功能支架时,仔细选择患者至关重要.
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