在第三级护理中心开放的骨骨折中,固体互锁指甲的功能结果:描述性的横截面研究
Vijayendra Adhikari1, Prasamsha Sitaula2, Ojas Thapa3
1Department of Orthopaedics, Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
JNMA; journal of the Nepal Medical Association
|October 2, 2024
概括
开放的小腿骨折用固体互锁的内指甲进行治疗,显示出有效的结果. 这种方法提供了稳定的固定,早期动员,以及高的联合率,在Gustilo III B型以下的骨折中,并发症最小.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
背景情况:
- 开放的小腿骨折是一个重大的挑战,因为其高发病率和易受并发症的影响.
- 开放的骨折的管理需要仔细考虑伤害严重程度和软组织状况.
研究的目的:
- 为了评估开放的小腿骨折 (小于Gustilo型III B) 的结果,用未经接的固体互锁内髓指甲进行治疗.
主要方法:
- 一项描述性的横截面研究包括34名患者,这些患者在开放的骨骨折时接受了固体互锁内髓指甲治疗.
- 结果在一年后的随访中使用修改后的Ketenjian标准来评估结果.
主要成果:
- 平均结合时间为15.82周,并发症率低 (11.76%的表面感染,2.94%的深层感染).
- 76.47%的患者取得了优异的结果,20.59%的患者取得了良好的结果.
结论:
- 未经制的固体骨内内锁钉对于开放的骨骨折 (小于GA III B) 是有效的.
- 这种技术提供了稳定的固定,保存软组织,并促进早期动员和高工会率.
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