在带有交融环破坏的骨盆环损伤中固定转闭器电缆 - 最后手段?
Martin C Jordan1,2, Richard Wagner3, Lukas Hufnagel3
1Department of Orthopaedic Trauma, Hand, Plastic and Reconstructive Surgery, University Hospital Würzburg, Oberdürrbacherstraße 6, 97080, Würzburg, Germany. Jordan_m@ukw.de.
概括
转闭器电缆固定 (TOCF) 在复杂的骨盆环损伤中有效支持交合体愈合,没有并发症. 这种技术对肥胖,骨质不佳和复习病例有益.
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
- 盆腔重建 盆腔重建 盆腔重建
背景情况:
- 骨盆环的创伤性交断裂在手术稳定方面提出了复杂的挑战.
- 在这些情况下,特别是复杂和修订场景中,转闭器电缆固定 (TOCF) 的有效性需要进一步阐明.
研究的目的:
- 评估转闭器电缆固定 (TOCF) 在复杂和修复骨盆手术病例中的创伤性交断裂的管理中的作用和结果.
- 评估TOCF作为辅助或主要固定方法的安全性和有效性.
主要方法:
- 用TOCF.稳定骨盆骨折的时间序列 (2006年1月至2022年12月) 的回顾性分析.
- 纳入标准侧重于复杂和修订病例,收集患者人口统计数据,损伤特征 (骨折分类,ISS,BMI,创伤机制),手术细节和结果 (住院时间,并发症,GOS,随访).
主要成果:
- 包括七名男性患者 (平均年龄为64岁,平均BMI为29,平均ISS为45),他们患有严重的骨盆损伤.
- 在六个案例中,TOCF是辅助使用的 (支持交合体涂层),在一个案例中与外部固定.
- 在手术或随访期间没有观察到与手术相关的并发症,在所有患者中都观察到有效的交合体愈合.
结论:
- 转闭器电缆固定 (TOCF) 显示出良好的安全性,并有效支持复杂的骨盆环损伤中的交合体愈合.
- 对TOCF的关键症状包括肥胖,老年患者骨质受损以及修复手术.
- 当标准固定方法存在高失败风险时,TOCF代表了开放式骨盆损伤的可行救援选择.
关键词:
开放账户伤害伤害的情况骨质合成是一种骨质合成.骨盆骨折 骨盆骨折 骨盆骨折 骨盆骨折骨盆损伤的发生.板是指板的使用方法.严重受伤的患者严重受伤交合体中断的破坏交合体破裂的发生.创伤是一种创伤.更多相关视频
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