骨头骨折管理:对结果的系统性审查
Chiew Ying Chieng1, Anika Patel1, Hira Nazir1
1Department of Oral & Maxillofacial Surgery, Royal London Hospital, Whitechapel Road, London, E1 1FR, United Kingdom.
概括
对状骨头骨折 (CHFs) 的开放式减少和内部固定 (ORIF) 显示出比封闭式治疗 (CTR) 更好的结果. ORIF显著减少了三,偏差,缺陷,点击和疼痛,尽管需要进一步的研究.
科学领域:
- 口腔和牙面部外科手术
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
背景情况:
- 状头骨折 (CHFs) 的管理传统上涉及封闭治疗 (CTR).
- 目前的证据表明,开放式减少和内部固定 (ORIF) 可能为CHF产生优异的临床和放射性结果.
- 本综述批判性地评估了比较ORIF和CHF结果的CTR的文献.
结论:
- 开放式缩减和内部固定似乎比封闭式治疗更有客观优势,用于管理状骨头骨折.
- 对于某些CHF的封闭处理,仍然可以获得令人满意的结果.
- 进一步的大规模研究与标准化结果措施是必不可少的,以精确确定不同类型的CHF的最佳治疗策略.
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