飞板合成后的并发症,用于远半径骨折
Luca Pacchiarini1, Lorenzo Massimo Oldrini1, Pietro Feltri1
1Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland.
EFORT open reviews
|June 3, 2024
概括
远端半径骨折手术后的并发症发生在13.5%的患者中,手腕道综合征是最常见的. 重复干预率为8.5%,通常是为了移除硬件,这可以通过适当的板位和患者咨询来减少.
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
- 基于证据的医学是基于证据的医学.
背景情况:
- 远半径骨折 (DRF) 在老年人中很常见,占所有骨折的18%.
- 有限的文献存在于DRFs的手术治疗后的并发症率.
- 伏拉板固定是DRF的常见手术方法.
研究的目的:
- 系统地审查和量化DRFs的飞板固定患者的并发症和重新干预率.
- 确定可能导致并发症和重新干预的潜在诱导因素.
- 分析并发症的类型和频率以及重新手术的原因.
主要方法:
- 在三个数据库中进行了系统的文献搜索,截至2023年1月,遵守PRISMA指南.
- 包括的研究报告了DRFs的飞行板固定后的并发症和硬件移除.
- 质量评估是使用"Down and Black的检查清单"进行的.
主要成果:
- 分析了112项涉及17288名患者的研究.
- 整体并发症率为13.5%,手腕道综合征 (CTS) 是最常见的 (14.3%的并发症).
- 再干预率为8.5%,主要是针对患者的意志 (3.0%),疼痛 (1.1%),CTS (1.2%) 和设备故障 (1.1%).
结论:
- 该研究量化了使用飞板治疗的DRF的13.5%的并发症率和8.5%的再干预率.
- 带道综合征是主要的并发症,患者的意愿是重新干预 (硬件移除) 的主要驱动因素.
- 优化板位定位和术前患者咨询可以减轻硬件移除,降低相关成本和风险.
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