在远半径骨折中进行手术前计算机断层扫描以及对手术前规划的影响
Adam L Haydel1, Ryan C Roubion2, Cristina T Graphia3
1Department of Orthopaedics, Louisiana State University Health Sciences Center School of Medicine, New Orleans, LA.
Journal of hand surgery global online
|June 21, 2024
概括
术前计算机断层扫描 (CT) 对关节内远半径骨折 (DRF) 的扫描很少改变开放缩减内部固定的手术计划. 大多数外科医生即使在审查CT扫描后,也保持了他们计划的方法和固定策略.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 手术规划 手术规划
背景情况:
- 关节内远半径骨折 (DRF) 通常需要手术干预.
- 术前成像对于规划开放缩减内部固定 (ORIF) 是至关重要的.
- 计算机断层扫描 (CT) 扫描在改变DRF手术计划中的实用性仍在争论中.
研究的目的:
- 为了评估手术前CT扫描是否会改变计划的方法 (PA) 或计划的固定策略 (PFS) 对于关节内DRF的ORIF.
- 评估CT扫描对DRF管理中的外科决策的影响.
主要方法:
- 用ORIF治疗的33个关节内DRF的回顾性审查.
- 外科医生评估PA和PFS仅基于X光片,然后添加CT扫描.
- 外科医生对每个病例的CT扫描的有用性进行了分级.
主要成果:
- 在CT扫描引入时,计划方法 (PA) 在70.6%的病例中保持不变.
- 计划的固定策略 (PFS) 在70.9%的CT扫描病例中保持不变.
- 在感知到的CT扫描效用方面存在显著的外科医生间变异性 (P < .001).
结论:
- 术前CT扫描通常不会改变外科手术方法或固定策略,对经过ORIF的关节内DRF进行ORIF.
- 无论CT扫描结果如何,DRF的ORIF的决策过程在很大程度上是一致的.
- 虽然CT扫描可能被一些外科医生认为是有用的,但在大多数情况下,它们不会显著改变整体手术计划.
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