儿童第五手臂部骨折的管理:一个系统的审查
Dernas Suhail1, Yangmyung Ma2,3, Perlina Chung1
1Hull York Medical School, York, YO10 5DD, UK.
Archives of orthopaedic and trauma surgery
|June 2, 2024
概括
儿科第五手臂部骨折 (FMCNFs) 的角度小于30°,没有旋转,只能通过固定治疗. 更高的角度或旋转变形需要骨折减少和手术固定以获得最佳结果.
科学领域:
- 整形外科手术 整形外科手术
- 儿科手部骨折 儿科手部骨折
- 创伤学 创伤学 创伤学
背景情况:
- 在儿童中,第五甲手腕部骨折 (FMCNFs) 是常见的.
- 这些骨折可能会导致手腕后肢 (MCP) 运动范围和握力减少.
- 目前对儿科FMCNF的治疗指示没有标准化.
研究的目的:
- 系统地审查有关儿科FMCNF管理的证据.
- 为了确定这些骨折的适当治疗途径.
主要方法:
- 在PubMed,EMBASE,Scopus和谷歌学者的系统文献搜索.
- 包括关于儿童FMCNFs管理的研究.
- 基于骨折特征的治疗结果的分析.
主要成果:
- 审查了10项涉及237名儿科患者的研究.
- 仅靠不动化就能成功治疗<30°角和无旋转的骨折.
- 骨折缩小和手术固定在较高的角度或旋转形方面产生了良好的结果.
结论:
- 患有<30°角和没有旋转变形的儿科FMCNF可以在非手术情况下进行管理.
- 对于具有显著角或旋转变形的骨折,注明进行手术固定.
- 建议为儿科FMCNF提供标准化治疗途径.
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