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在儿童治愈的骨囊中,可能影响弹性稳定的内指甲切除的因素

Jiao Liu¹, Yuxi Su²

¹Orthopedics Department, Children's Hospital of Chongqing Medical University; Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Jiangxi Hospital Affiliated Children's Hospital of Chongqing Medical University, Zhongshan 2Road 136#, Yuzhong District, Chongqing, 400014, People's Republic of China.

Scientific reports

|May 15, 2024

概括

在患有愈合的骨囊的儿童中,切除弹性稳定的骨内指甲 (ESIN) 可能是困难的. 诸如老年,更长的植入时间,骨移植和更短的指甲突出等因素增加了移除挑战.

科学领域:

整形外科手术整形外科手术
儿科整形医生儿科整形医生
生物材料和植入物生物材料和植入物

背景情况:

弹性稳定内髓钉 (ESIN) 是患有病理性骨折的儿科骨囊的常见治疗方法.
愈合后难以去除ESIN是一种显著的临床并发症.
了解影响ESIN去除的因素对于改善患者的治疗结果至关重要.

研究的目的:

确定与患有愈合骨囊的儿童中难以去除ESINs的临床因素.
提供数据,帮助外科医生预测和管理ESIN移除挑战.

主要方法:

对49名因骨囊而接受ESIN切除的儿童的临床数据的回顾性分析.
收集的数据包括年龄,性别,骨折部位,骨移植,ESIN数量,内置时间和骨外长度.
进行了单变量和多变量逻辑回归分析,以确定影响因素.

主要成果:

对ESIN提取的整体难度率为44.90%.
单变量分析表明年龄,ESIN停留时间,骨移植和骨外长是潜在的因素 (P <0.05).
多变量分析确定ESIN停留时间是影响移除难度的独立因素 (P <0.05).

结论:

影响ESIN去除困难的因素包括年龄超过11.79岁,停留时间超过10.5个月,骨移植的存在以及短额外骨质长度 (≤0.405厘米).
这些因素应该被外科医生考虑在计划 ESIN 移除儿科患者时.
进一步的研究可能会探索减轻这些移除困难的策略.

关键词:

一个骨囊.孩子孩子孩子孩子弹性稳定的内髓内钉子去除这些因素是因素.病理性骨折是一种病理性骨折.

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