韦伯B脚骨折中的综合性固定:系统性审查
Brandon Lim1, Mohamed Shaalan2, Sven O'hEireamhoin2
1School of Medicine, Trinity College Dublin, Dublin, Ireland.
PloS one
|June 10, 2024
概括
对于韦伯B脚骨折的综合性固定可能不必要,因为结果与螺丝或没有螺丝相似. 替代的固定方法,如接按是可行的,常规的硬件移除通常不需要.
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
- 运动医学 运动医学
背景情况:
- 韦伯B型骨折经常涉及综合性损伤,导致不稳定.
- 移位的韦伯B骨折往往需要开放的减少和内部固定.
- 在高达40%的韦伯B骨折中发生综合性损伤,导致扩散.
研究的目的:
- 系统地审查关于韦伯B骨折中综合性固定的文献.
- 评估与综合症固定相关的结果和并发症.
- 为了确定韦伯B骨折的综合性固定的必要性.
主要方法:
- 在EMBASE,PubMed和CINAHL上进行了系统的文献搜索.
- 包括8项涉及292个韦伯B脚骨折的研究.
- 由于结果的显著异质性,进行了叙事审查.
主要成果:
- 功能性,放射性和生活质量结局在带有和没有综合性螺丝的患者之间是相似的.
- 在两组中,创伤后关节炎的发病率是可比的.
- 螺丝带有破裂,松动,刺激和感染等风险;扣和防滑技术是替代方案.
结论:
- 在韦伯B骨折中,用螺丝固定综合体可能不是常规必要的.
- 替代固定方法提供了可行的选择.
- 除非出现患者报告的显著副作用,否则不建议进行例行硬件清除.
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