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早期转换为下肘造用于儿科腹腔两骨前臂骨折是否会对患者报告的结果和ROM产生不利影响?

Linde Musters¹, Kasper C Roth¹, Leon W Diederix²

¹Department of Orthopaedics and Sports Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands.

Clinical orthopaedics and related research

|May 30, 2024

概括

儿童前臂骨折早期转换为肘下件是安全有效的. 这种方法使得在7.5年后的功能和放射性结果相似,即使有疾病.

科学领域:

儿科整形外科儿科整形外科
创伤学创伤学创伤学
临床结果研究研究

背景情况:

在儿童的偏远前臂骨折中,肘下件比肘上件具有优势.
之前的研究表明,骨前臂骨折上方肘部和早期转换下方肘部件之间没有短期差异.
长期跟踪对于评估儿科前臂骨折的生长相关结果至关重要.

研究的目的:

为了确定早期转换到肘下造是否会影响儿童的临床和放射性结果,减少,稳定的半身前臂骨折.
评估恶性联合是否会影响治疗后7.5年的临床结果.

主要方法:

一项随机对照试验 (RCT) 的二次分析,涉及97名患有腹腔两骨前臂骨折的儿童.
随访时间为7.5年 (至少5年),包括功能性和放射性评估.
主要结局:前臂旋转;次要结局:ABILHAND-kids,QuickDASH,握力,运动范围和放射性变形.

主要成果:

在7.5岁时,在上肘和上/下肘造组之间,功能结果 (ABILHAND-kids,QuickDASH,握力,前臂旋转,运动范围) 没有显著差异.
在AP角角的微小放射性差异,不被认为具有临床意义.
7个月的持续性恶性结合并没有导致7.5年后功能结果的临床相关差异.

结论:

建议在儿童中早期转换为肘下件,以减少腹腔两骨前臂骨折.
骨折重塑甚至发生在二次移位时,并经常产生良好到优秀的结果.
需要进一步研究骨年龄,性别和结角,以完善治疗指南.

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