在关节内骨折中皮肤固定的结果
Jessica Thor1, Raj Socklingam1, Charles Kon1
1Orthopaedic Surgery, Changi General Hospital, Singapore, SGP.
Cureus
|October 3, 2024
概括
使用管螺丝进行穿皮固定,为移位的关节内骨骨折提供了一种有利的方法,可以获得良好的到优秀的结果. 这种最少的侵入性技术以最小的伤口并发症证明了有效性.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 骨的修复 骨的修复
背景情况:
- 移位的关节内骨折带来了重大的外科手术挑战,其结果在历史上变化不定.
- 治疗模式已经从保守的管理转向了手术干预,而皮肤穿固定正在获得引力.
- 最少侵入性技术旨在减少与传统的开放骨折固定相关的并发症.
研究的目的:
- 为了评估皮肤穿固定在移位的关节内骨折的疗效和结果.
- 通过验证的评分系统 (AOFAS,MFS,Kerr) 来评估临床结果.
- 报告并发症和患者对穿皮疗法的整体满意度.
主要方法:
- 在2017年1月至2019年12月期间治疗的17名患者中,对18个骨骨折进行了回顾性研究.
- 穿皮固定是使用穿孔螺丝进行的,患者处于横向位置.
- 术内成像使用迷你图像强化器和O臂用于骨折减少可视化.
主要成果:
- 该研究包括4种IIA型,3种IIB型,2种IIC型,2种IIIAB型和7种IIIAC型骨折 (桑德斯分类).
- 根据AOFAS和MFS分数,在94%的骨折中报告了优秀或良好的结果.
- 78%的骨折按克尔骨评分取得了良好的到优秀的结果,没有伤口并发症.
结论:
- 通过皮肤固定移位的关节内骨骨折通常会产生有利的结果.
- 该技术允许令人满意的骨折减少和良好的临床结果.
- 虽然可能会出现小的并发症,如螺丝突出,但整体好处超过了风险.
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