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[在关节镜下使用锁板治疗Neer IIb远端关节骨骨折]

Shao Chen¹, Cai-Hua Zhang¹, Quan-Ming Yang¹

¹Ningbo First Hospital, Ningbo 315010, Zhejiang, China.

Zhongguo gu shang = China journal of orthopaedics and traumatology

|October 28, 2024

概括

这项研究表明,关节镜锁定板治疗对Neer IIb远端关节骨骨折有效. 在手术后,患者在肩膀功能和疼痛缓解方面经历了显著的改善.

科学领域:

整形外科手术整形外科手术
关节镜检查 (arthroscopy) 是一种关节镜检查.
创伤学创伤学创伤学

背景情况:

距离关节骨骨折,特别是Neer IIb型,存在手术挑战.
关节镜技术在最小侵入性骨折修复方面具有潜在的优势.

研究的目的:

评估使用关节镜辅助锁定板固定治疗Neer IIb远端关节骨折的可行性和临床结果.

主要方法:

追溯分析15名患者 (9名男性,6名女性;年龄25-57岁) 患有Neer IIb远端关节骨折.
治疗涉及关节镜引导的锁定板固定.
使用视觉模拟尺度 (VAS),Constant-Murley肩部得分和Neer标准得分进行预手术,1个月后和最终随访时评估的临床结果.

主要成果:

所有15名患者都成功接受了手术,平均手术时间为0.55小时.
从术前到术后1个月的VAS,Constant-Murley和Neer得分有显著的改善 (P<0.05).
在1个月到最后的随访期间 (平均9.2个月) (P<0.05) 持续显著改善.

结论:

关节镜辅助锁定板固定是Neer IIb远端关节骨骨折的可行和有效的治疗方法.
这种技术成功地恢复了肩膀关节的功能,并提供了明确的治疗效果.

关键词:

关节镜检查 (arthroscopy) 是一种关节镜检查.终端按终端按关节骨骨的骨折关节骨的骨折绝对不可能的.

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