青少年骨骨折创伤的临床和功能结果
Sobia Aziz1, Noman Khan1, Twahir Kalekhan Dina1
1Department of Orthopaedic Surgery, Liaquat National Hospital and Medical College, Karachi, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|August 20, 2024
概括
使用无头螺丝用于青少年骨骨质突骨折的内部固定导致了出色的功能结果. 一年后的随访显示,膝关节功能显著改善,患者满意度高.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
背景情况:
- 骨骨质中骨折 (OCD) 在青少年中具有挑战性的损伤.
- 内部固定是一种常见的治疗方法,但功能结果需要进一步评估.
研究的目的:
- 评估在青少年骨骨髓骨折后创伤性骨折内部固定后的功能结果和患者满意度.
- 为了比较手术前和手术后的一年膝盖功能.
主要方法:
- 在2019-2021年期间接受治疗的14名青少年 (平均年龄16.1岁) 的描述性横截面研究.
- 通过X射线和MRI/CT证实了诊断;治疗包括使用无头螺丝进行开放缩小和内部固定 (ORIF).
- 使用膝关节运动范围 (ROM),国际膝关节文档委员会 (IKDC) 评分,以及手术前和一年后的满意度评分来评估功能结果.
主要成果:
- 在一年的随访中,与未受影响的肢体相比,膝盖ROM没有显著差异.
- 平均患者满意度得分为86%.
- 平均手术前IKDC得分 (47.6) 在一年的随访后显著改善至88.6 (p<0.05).
结论:
- 无头螺丝提供了优秀的结果,迫切的开放缩小和内部固定青少年形骨髓碎片.
- 这种手术技术恢复了膝盖功能,在这个人群中实现了高患者满意度.
关键词:
骨质状元缺陷,青少年的骨.更多相关视频
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