青少年中Z型关节骨折的非手术对手术治疗:一个前性的基层化队列分析
Coleen S Sabatini1, Eric W Edmonds2, Jeffrey J Nepple3
1UCSF Benioff Children's Hospital Oakland, UCSF Department of Orthopaedic Surgery, Oakland, CA.
Journal of orthopaedic trauma
|June 5, 2024
概括
对于Z型中轴关节骨折的青少年,非手术和手术治疗显示了类似的临床结果和患者报告的结果. 这项研究比较了并发症和功能恢复,发现这两种管理策略之间没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
背景情况:
- 在青少年中,Z型中轴关节骨折常见.
- 操作和非操作管理之间的处理决策可能是具有挑战性的.
- 了解长期结果对于指导临床实践至关重要.
研究的目的:
- 为了比较临床,放射和患者报告的结果.
- 为了评估Z型关节骨骨折的青少年的并发症和功能恢复.
- 为了确定手术或非手术治疗是否会产生更好的结果.
主要方法:
- 在八个儿科中心进行前性观察队列研究.
- 包括81名青少年 (年龄在10-18岁) 进行了Z型中轴关节骨折.
- 并发症和患者报告结果 (PROs) 在2年随访后的比较.
主要成果:
- 在非联合,延迟联合,症状性失联或折断率方面没有显著差异.
- 在两组之间,临床上显著的并发症和意想不到的后续手术的发病率相似.
- 在控制骨折缩短后,患者报告的结果 (ASES,QuickDASH,Marx,EQ-5D,EQ-VAS) 没有差异.
结论:
- 非手术和手术治疗对患有Z型中轴关节骨折的青少年产生了相似的结果.
- 这两种方法都显示出相似的并发症率和患者满意度.
- 治疗选择可以根据患者和骨折特征进行个性化.
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