脊椎骨折的手术固定后,功能障碍的肘部硬的危险因素
Alexander K Mihas1, Logan A Reed2, David A Patch3
1Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Journal of shoulder and elbow surgery
|August 5, 2024
概括
坐标板的配置和更长的手术时间在远端骨骨折手术后增加了肘部硬度. 外科医生应该考虑这些因素,并向患者提供有关风险的建议.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 上肢的重建 上肢的重建
背景情况:
- 肘部硬是远端骨骨折的手术固定后经常出现的并发症.
- 关于导致这种并发症的因素的文献有限.
研究的目的:
- 为了确定与手术固定后远端骨骨折的功能障碍肘部硬相关的危险因素.
主要方法:
- 对110名患有远端骨骨折 (AO/OTA 13A-C) 经过手术治疗的患者进行了回顾性审查.
- 最少6个月的随访;功能障碍硬度定义为<100°曲-延伸弧或需要硬度手术干预.
主要成果:
- 直角板形配置 (aOR:5.70) 和更长的手术时间 (aOR:1.86) 独立地与肘部硬的可能性增加有关.
- AO/OTA 13A骨折显示硬度的几率降低 (aOR:0.16),而13C骨折中的骨头骨折增加了几率 (aOR:5.48).
- 两组之间没有发现损伤机制,固定类型或感染或非结合等并发症的显著差异.
结论:
- 功能障碍肘部硬发生在49.1%的患者中.
- 正角,更长的手术时间和骨骨切除术是硬度的危险因素.
- 外科医生应该向患者咨询硬的风险,并考虑可修改的因素,如板位和olecranon骨切除术的必要性.
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