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距离骨骨折的非联合:当前的概念
Angelo De Crescenzo1, Raffaele Garofalo1, Matteo Bartoli2
1Ente Ecclesiastico Ospedale "F. Miulli", Ospedale "F. Miulli", Department of Orthopaedic and Traumatology Surgery, Shoulder and Elbow Unit, Acquaviva delle Fonti, Bari, Italy.
概括
复杂的远端骨骨折正在增加. 内部固定和骨移植的手术治疗在具有挑战性的病例中提供了高的结合率,尽管存在潜在的运动限制.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
背景情况:
- 在成年人中,由于高能量创伤和人口老龄化,远端腰椎骨折的数量正在增加.
- 实现骨折稳定性,同时使早期运动成为关键的治疗挑战.
- 非结合是常见的并发症,受到生物和机械因素的影响.
研究的目的:
- 审查处理复杂的远端骨骨折的挑战和结果.
- 讨论导致非工会和临床表现的因素.
- 评估这些骨折的外科治疗选择.
主要方法:
- 关于远端骨骨折治疗的当前文献的综述.
- 分析影响非结合的因素,包括血液供应,减少技术和固定方法.
- 基于关节内或关节外卷入的临床表现的讨论.
主要成果:
- 非工会率受到骨折复杂性,手术技术和患者因素的影响.
- 关节内非结合经常出现功能障碍和硬; 关节外非结合可能会导致肘.
- 内部固定与骨移植相结合,显示出高结合率,尽管运动范围可能有限.
结论:
- 外科干预通常是需要远端骨骨折,非手术治疗保留给低需求的患者.
- 内部固定和骨移植为复杂的远端骨骨折提供了高的结合率.
- 管理这些裂需要平衡稳定,早期动员,并解决潜在的并发症,如非工会.
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