我们需要另一个螺丝吗? 在骨盆环损伤 (APC II 类型) 的开放书中,神经螺丝固定
Martin C Jordan1,2, Konrad F Fuchs1, Steven C Herath3
1Department of Orthopaedic Traumatology, University Hospital Würzburg, Julius-Maximilians-University Würzburg, Würzburg, Germany.
EFORT open reviews
|August 1, 2024
概括
对于骨盆环损伤,单独固定前板或用后面的状螺丝固定前板显示了后者潜在的益处. 然而,目前的证据对于可靠的建议是不确定的.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理的护理人员.
- 生物医学工程 生物医学工程
背景情况:
- 骨盆环损伤与阴部交接管扩大和神经带破坏需要有效的固定.
- 前板固定 (SP) 是一种常见的治疗方法,但它与后部神经螺丝 (SP+SIS) 的结合也被考虑.
研究的目的:
- 为了比较SP固定与SP+SIS固定在治疗特定的骨盆环损伤方面的疗效.
- 系统地审查有关这些固定方法的现有文献.
主要方法:
- 通过搜索四个数据库进行了系统的文献审查.
- 包括的研究重点是用SP或SP+SIS固定治疗的骨盆环损伤 (APC II;B2.3d).
- 排除标准包括围损伤,慢性不稳定性,完全的关节分离以及儿科患者.
主要成果:
- 在1861年查后,包括了14项研究,包括调查,生物力学和回顾性临床研究.
- 30%的SP固定患者出现并发症,而SP+SIS固定患者的3.5%.
- 最近的外科医生更喜欢SP+SIS固定.
结论:
- 在审查的研究中发现了偏见和不完整报告的高风险.
- 固定的SP+SIS可能会提供更好的结果,但证据是不确定的.
- 需要进一步进行高质量的研究,以便为骨盆环损伤治疗做出可靠的建议.
关键词:
没有AO AO AO AO.这是APC II的APC II.B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1 B1B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2 B2骨头 骨头 骨头 骨头干扰 干扰 干扰骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.植入物失败 植入物失败这是一个开放的书籍.骨盆 骨盆 骨盆 骨盆破裂 破裂 破裂 破裂圣结关节 (Sacroiliac Joint) 是一个神经结关节.螺丝对应作用的螺丝系统性审查 系统性审查更多相关视频
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