老年患者的弗里克曼类型7-8距离半径骨折:保守的治疗与Volar Plating对比
Mehmed Nuri Tutuncu1, Murat Demiroğlu2
1Orthopaedics and Traumatology, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul, TUR.
Cureus
|July 25, 2024
概括
保守的造和手术的飞涂层为老年患者提供类似的结果,这些老年患者患有移位的弗里克曼类型7-8远半径骨折. 石膏治疗可以产生令人满意的结果,特别是对于期望较低和并发症患者.
科学领域:
- 整形外科手术 整形外科手术
- 老年创伤的治疗方法
- 骨折管理 骨折管理
背景情况:
- 患有Frykman类型7-8远半径骨折的老年患者面临着独特的治疗挑战.
- 对这一群体来说,评估保守干预与手术干预的临床结果至关重要.
研究的目的:
- 在老年患者中,比较Frykman类型7-8偏半径骨折的保守 (造) 和手术 (形) 治疗的临床结果.
- 评估治疗后的功能性,放射性和疼痛相关参数.
主要方法:
- 在2019年1月至2022年1月期间,一组50名患有Frykman类型7-8远半径骨折的患者 (60岁以上) 接受了治疗.
- 评估结果包括关节运动范围,疼痛评分 (VAS),功能评分 (Mayo手腕,Quick-DASH),放射性参数和并发症.
- 患者接受了保守的造 (18) 或手术的飞涂层 (32).
主要成果:
- 造和飞行造组之间在整体功能和放射性评估中没有统计学上显著的差异.
- 与造相比,手术治疗导致飞行倾斜明显增加 (p=0.02).
- 较差的结果 (更低的梅奥手腕得分,更高的VAS得分) 与步骤偏离>2毫米有关;更好的结果 (更高的梅奥手腕,更低的Quick-DASH) 与可接受的放射性参数有关.
结论:
- 无论是造还是飞行造,对于患有弗里克曼类型7-8远半径骨折的老年患者,临床结果都相似.
- 保守的石膏治疗是一种可行的选择,特别是对于功能需求较低和多种并发症的老年患者.
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