结合的骨和骨骨折:一个案例系列
Joshua R Daryoush1, Eleanor H Sato1, David L Rothberg1
1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Injury
|August 6, 2024
概括
在约6%的病例中,结合骨和支柱骨骨折发生,通常在初始X射线上错过. 创伤后关节炎的发病率与隔离的骨髓骨折相似,但最佳管理需要进一步研究.
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
- 脚和脚手术 脚和脚手术
背景情况:
- 支柱状关节对于后脚的稳定性和下关节的一致性至关重要.
- 悬臂骨损伤与骨骨折相结合并不常见,治疗方法各不相同.
- 这项研究评估了结合骨和支柱骨骨折的结果.
研究的目的:
- 描述结合骨和支柱骨骨折的发生率和特征.
- 评估这些联合伤害的治疗和结果.
- 评估创伤后关节炎 (PTOA) 和重新手术的发生率.
主要方法:
- 在21年的时间里,对436个经过手术固定的骨骨折进行了回顾性审查.
- 包括所有与相关的支柱骨骨折相关的骨折.
- 使用千平方和费舍尔精确测试进行统计分析.
主要成果:
- 悬臂骨折发生在6.2%的骨折中,主要是高能机制 (88.8%).
- 在69.2%的病例中,在初始放射图上错过了诊断.
- 在23.1%的综合伤害中观察到下垂体PTOA;独立的sustentaculum固定没有影响PTOA或重新手术率.
结论:
- 相关的支柱骨骨折发生在约6%的骨折中,特别是霍金斯II损伤.
- 超过三分之二的支柱骨骨折最初被遗漏,需要提高意识和先进的成像.
- 结合性损伤中的PTOA率不超过单独的骨骨折,但最佳的支柱骨管理需要进一步调查.
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