在保守治疗后,低能耗骨盆环骨折的短期流动性
Belgin Bal1, Diana Rudin1, Vilijam Zdravkovic1
1Department of Orthopaedics and Traumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Injury
|August 14, 2024
概括
在老年患者中,骨盆脆弱性骨折 (FFP) 的保守治疗是有效的,大多数患者在六周内恢复了运动能力. 男性性别是延迟行动能力的唯一预测因素.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 创伤学 创伤学 创伤学
背景情况:
- 老年人群面临越来越多的骨盆环骨折,经常结合阴部分支和阴道骨损伤 (LC1/LC2,FFP).
- 这些骨折可能会导致长时间的疼痛,运动能力下降,以及由于多病症导致的手术并发症.
- 在老年人中管理这些骨折存在重大挑战.
研究的目的:
- 评估低能侧压缩1型 (LC1) 和2型 (LC2) 骨盆脆弱性骨折 (FFP) 的保守管理的有效性.
- 确定影响老年患者非手术治疗的运动恢复和骨折巩固的因素.
主要方法:
- 对41名老年患者 (平均年龄79.8岁) 进行了回顾性分析,这些患者患有保守治疗的LC1或LC2骨折 (2017-2020).
- 骨折分类使用Rommens的FFP系统.
- 在2周和6周评估移动性;通过X射线评估骨折巩固;进行后勤回归和决策树分析.
主要成果:
- 在41名患者中,39名患者在6周内恢复了行动能力;32名患者在2周内恢复了行动能力.
- 两周后,男性是唯一一个独立的不移动性预测因子 (p=0.0037).
- 骨折巩固发生在73.2%的患者中;阴茎支部位移>5毫米没有影响结果.
结论:
- 对于LC1 (FFP IIb,IIc) 和LC2 (FFP IIIc,IVb) 骨折,保守的治疗是有效的,可以在6周内重新动员.
- 男性性别是早期动员的一个显著的负面预测因素.
- 在老年人中,非手术治疗是低能量的骨盆骨折的可行选择.
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