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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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儿科人口中的形骨折:系统性审查和管理算法

Anjali M Prabhat¹, David S Liu², Lara Cohen²

¹Harvard Medical School, Boston, MA, USA.

Journal of children's orthopaedics

|October 11, 2024

概括

儿科口腔骨折很少见,但需要谨慎管理. 这份对125例病例的综述表明,手术和非手术方法都可能是有效的,手术显示出更高的结婚率.

科学领域:

整形外科整形外科整形外科
儿科创伤学儿科创伤学
神经外科神经外科

背景情况:

牙骨折在成年人中得到了充分的证据,但在儿科文献中代表性不足.
准确的诊断和及时的治疗对于儿科椎创伤至关重要.

研究的目的:

进行关于儿科牙骨折的管理和结果的综合文献综述.
基于证据,开发一个步骤治疗算法,用于儿科口腔骨折.

主要方法:

在PubMed.上进行了一项遵循PRISMA指南的系统文献审查.
包括在1960年至2023年间发表的英语研究,包括至少四名儿科患者 (0-18岁) 和至少6周的随访.

主要成果:

分析了包括125名儿科患者在内的15项研究.
治疗方案包括非手术 (固定) 和手术 (固定/关节切除) 方法.
非手术管理的非工会率为5.5%;手术工会率为94.6% (后部) 和85.7% (前部).

结论:

骨骨折是儿科椎损伤的一个重要问题.
有一系列的管理策略可用,手术干预显示出高成功率.
提出了基于证据的算法,以指导儿童这些骨折的管理.

关键词:

这是一种Odontoid.宫脊椎创伤的发生儿科儿科儿科

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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