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在手术管理的骨骨折的功能性结果的评估

Raja Ramesh Badavath¹, Parineetha Akkala¹, Sundeep Kund Reddy Aluka¹

¹Orthopaedics, Nizam's Institute Of Medical Sciences, Hyderabad, IND.

|July 29, 2024

概括

柱骨折,复杂的伤害需要手术治疗,表现出良好的功能结果与内部固定. 这种方法改善了脚的运动范围,并减少了与外部固定相比的并发症.

科学领域:

整形外科手术整形外科手术
创伤管理创伤管理
下肢骨折骨折在下肢骨折.

背景情况:

柱骨骨折是由于广泛的软组织损伤和复杂的关节表面参与而具有挑战性.
高能量的冲击塔卢斯进入远距离的骨造成这些骨折,与模式根据冲击强度不同.
患者特定的管理,包括术前CT规划,对于预防并发症至关重要.

研究的目的:

为了评估手术治疗的骨柱骨折的功能结果.
用美国整形足和脚学会 (AOFAS) 评分系统来评估结果.
为了将功能结果与脚运动范围和并发症率相关联.

主要方法:

对20名 (18-65岁) 带着骨骨折的患者进行前性观察性研究.
患者特定的手术管理,然后至少六个月的随访.
通过AOFAS评分和骨折联合和物理治疗后脚运动范围评估的功能结果.

主要成果:

患者的平均年龄为40岁,男性占主导地位.
在60%的患者中进行了内部固定,产生了优秀的 (6患者) 至良好的 (11患者) AOFAS分数.
大多数患者 (11) 获得了极佳到良好的脚运动范围;并发症包括脚硬和伤口脱光在少数情况下.

结论:

柱骨折在年轻人中很常见,通常来自道路交通事故.
在软组织愈合后,关闭柱骨骨折的最终内部固定显示出出色/良好的功能结果和改善的脚ROM.
内部固定似乎优于外部固定,这与脚硬和延迟结合的风险更高有关.

关键词:

远部骨骨折远部骨骨折脚和脚的脚和脚.柱子骨折柱子骨折天花板天花板骨柱子的支柱.

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