儿科远端双骨前臂骨折经过皮肤穿刺治疗,或没有腰椎固定:来自两个中心的回顾性队列研究
Biao Wang1, Jiale Guo2, Zhenwei Li1
1Department of Orthopaedics, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, 33 Longhu Waihuan East Road, Henan, Zhengzhou, 450018, China.
BMC musculoskeletal disorders
|August 29, 2024
概括
仅为儿科远距离两骨前臂骨折修复半径是有效的. 这种方法产生类似的临床和功能结果,固定半径和肘部.
科学领域:
- 儿科整形外科 儿科整形外科
- 外科手术的结果
- 骨折管理 骨折管理
背景情况:
- 远端双骨前臂骨折在儿童中很常见.
- 目前的治疗模式通常涉及到半径和肘部的固定.
研究的目的:
- 为了比较儿科远端两骨前臂骨折的临床和功能结果.
- 研究仅半径固定与双固定 (半径和肘部) 的有效性.
主要方法:
- 对71名患有远端双骨前臂骨折的儿科患者进行了回顾性分析.
- 仅半径固定 (ulna-no组) 和双固定 (ulna-yes组) 之间的比较.
- 在随访时进行放射性评估和功能评分 (Gartland-Werley,Mayo Wrist).
主要成果:
- 与双重固定相比,仅半径固定在骨愈合时显示出明显较少的肘部角化 (p < 0.05).
- 两组之间减少率损失没有显著差异 (p > 0.05).
- 观察到同等的功能结果,在各组之间Gartland-Werley或Mayo手腕得分没有显著差异 (p > 0.05).
结论:
- 只有半径的固定是儿科远距离两骨前臂骨折的可行治疗选择.
- 与半径和肘部的固定相比,仅半径固定提供了同等的临床和功能结果.
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