用锁定板固定前臂骨折:大小是否重要?
William Justice1, Alexander Adams1, Alexis Kasper1
1Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.
Journal of hand surgery global online
|May 31, 2024
概括
板尺寸和螺丝直径不会显著影响前臂骨折愈合率. 这项研究表明,外科医生可以根据患者的因素和个人偏好选择固定方法,而不仅仅是3.5毫米板和螺丝.
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
- 生物医学工程 生物医学工程
背景情况:
- 半径和/或肘部的前臂轴骨折通常使用板和螺丝进行治疗.
- 传统上,建议使用3.5毫米的非锁定螺丝,但也有更小的或锁定选项.
研究的目的:
- 以回顾评估板块大小和类型是否影响骨折愈合率和前臂轴骨折的并发症.
- 为了比较用于半径和/或骨骨折修复的不同板块和螺丝尺寸之间的结果.
主要方法:
- 对110名前臂轴骨折患者 (2017-2021) 的人口统计和治疗数据的回顾性收集.
- 纳入标准:锁定板固定,至少60天的放射性随访或确认的联合.
- 基于螺丝尺寸 (3.5毫米与2.7/2.5/2.4毫米) 和板型的断裂结合率和并发症的分析.
主要成果:
- 在所有固定类型中观察到98% (108/110患者) 的高骨折结合率.
- 使用的螺丝尺寸在52%的案例中为3.5毫米,在48%的案例中为2.7/2.5/2.4毫米.
- 在两个案例中发生了非联合,其中一个涉及每个螺丝尺寸类别.
结论:
- 在半径和/或骨骨折中,骨折结合率高,不管板尺寸或螺丝直径如何.
- 较小的螺丝尺寸并没有对断裂结合产生负面影响.
- 板类型和螺丝直径的选择可以根据患者的特征和外科医生的偏好来指导,不仅限于3.5毫米的选项.
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