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关闭的低能耗脚骨折移位的临时固定方法:对回顾性队列队列的比较分析

Diego González-Morgado^1,2, Júlia Bargalló-Granero², Oriol Pujol^2,3

¹Department of Surgery, Universitat Autònoma de Barcelona, Barcelona, Spain.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|May 26, 2024

概括

外部固定 (EF) 对于预后不佳的脚骨折脱位是有效的,尽管受伤更严重,但其并发症率与 splinting 相似. 这种方法有助于标准化复杂案例的结果.

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
生物机械工程生物机械工程

背景情况:

脚骨折移位 (AFD) 往往需要分阶段治疗.
临时外部固定 (EF) 用于机械不稳定性或水泡形成.
对于低能耗封闭AFD的最佳暂时固定缺乏广泛的文献.

研究的目的:

比较AFD的基线特征,临床和放射性结果.
评估使用EF的暂时固定与 splinting.
评估对减少质量 (QOR) 的影响.

主要方法:

194名AFD患者的回顾性队列研究.
对EF与用于暂时固定运动的 splinting 的比较.
在初始固定和最终手术后评估QOR.

主要成果:

在EF组中,有较年长的患者,更多的后骨折和水泡.
第二次减少损失发生在2.2%的 splinted 患者中.
术后并发症的比较率 (8.9%的EF与10.9%的 splinting).
满意的最终QOR在EF (64.3%) 与 splinting (79.8%) 相比较低.

结论:

EF患者的基线特征较差,损伤更不稳定.
在EF和 splinting之间,术后并发症的发生率相似.
EF对于在预后不太有利的AFD患者的标准化结果有价值.

关键词:

脚骨折-脱位脚骨折-脱位复杂性复杂性复杂性外部固定方式外部固定方式后部骨骨折后部骨骨折减少的质量减少的质量阶段性治疗是阶段性的治疗.

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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...