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老年人关节周远半径骨折的手术治疗:系统性审查

Gianluca Testa¹, Flora Maria Chiara Panvini¹, Marco Simone Vaccalluzzo¹

¹Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico Rodolico-San Marco, University of Catania, Via Santa Sofia 78, 95123 Catania, Italy.

Medicina (Kaunas, Lithuania)

|October 26, 2024

概括

伏拉锁板 (VLP) 在老年人中提供远半径骨折的初始功能益处,但结果在一年后与基尔施纳线和外部固定等同. 在外科手术上,EF和K-wire更简单.

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
老年医学老年医学

背景情况:

周关节远半径骨折带来了治疗挑战,特别是在60岁以上的患者中.
探索各种手术作为保守管理的替代方案.

研究的目的:

系统地比较功能性,放射性和并发症结果的飞行锁定板 (VLPs),Kirschner-wire (K-wire) 和外部固定 (EFs) 对于远半径骨折在60岁以上的患者.

主要方法:

从PubMed,Cochrane和Science Direct数据库中对研究进行系统审查和元分析.
主要结果:运动范围 (ROM). 二级结局:DASH,快速DASH,PRWE,VAS得分,握力,X射线结果和并发症.
包括23项研究,5618名患者 (4690名女性,1015名男性).

主要成果:

VLP组:4468名患者;EF组:503名患者;K线组:647名患者.
最常见的并发症是:VLP (CRPS 7.5%,CTS 6.8%),EF (感染9.8%,CTS 6.8%),K-wire (CTS 7.5%,感染6.9%). 这种并发症通常发生在儿童中.
VLP表现出优越的早期临床结果,差异减少了一年.

结论:

伏拉锁板在老年人中提供了远端半径骨折的功能恢复的初步优势.
一年后,功能结果在VLP,EF和K-wire治疗中变得可比.
外部固定和基尔施纳电线提供了更简单的手术管理.

关键词:

在 DRF 找 DRF.在K-电线上.这里是ORIF ORIF.衰老骨折折的时间偏半径骨折偏半径骨折偏半径骨折偏半径骨折年长的老人老年人老年人.外部固定装置外部固定装置骨质疏松症是一种骨质疏松症.盘子盘子盘子盘子进行手术治疗治疗.

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