相关实验视频

Updated: Jun 8, 2025

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

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

Published on: April 11, 2012

美国远距离半径骨折手术固定的利用:基于人口的队列研究

Thompson Zhuang¹, Bill Young², Lauren M Shapiro³

¹Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA.

The Journal of hand surgery

|November 3, 2024

概括

远半径骨折的手术治疗,包括在老年人中,正在增加. 手部外科医生在这些手术中占有越来越多的份额,这表明骨科护理趋势的转变.

科学领域:

整形外科手术整形外科手术
创伤护理创伤护理
老年医学老年医学

背景情况:

临床指南建议65岁及以上的患者进行外科与非外科手术治疗远半径骨折的长期结果相似.
然而,对这一人口群体的治疗利用的最近趋势并没有得到很好的描述.

研究的目的:

在成年人群中随着时间的推移,研究远端半径骨折治疗模式的变化.
确定与这些不断变化的治疗趋势相关的患者和外科医生因素.

主要方法:

对18岁及以上患者的孤立,封闭的远距离半径骨折进行国家行政索赔数据库分析.
按年龄组 (18-64岁和≥65岁) 进行分层,并评估随时间推移的开放缩减和内部固定 (ORIF) 率.
按外科医生子专业,地理区域和收入水平评估趋势.

主要成果:

远半径ORIF的总比重从2012年的10.4%增加到2020年的15.1%,包括65岁及以上的患者.
手部外科医生在ORIF手术中占比越来越高,而整形外科医生在ORIF手术中占比较低.
美国所有地区的ORIF率都上升,中西部 (≥65岁) 和东北部 (18-64岁) 显著增加.

结论:

包括老年人在内的远半径骨折的手术治疗在美国各地正在增加.
手术医生越来越多地进行这些手术,这表明治疗模式的潜在转变.
需要进一步的研究,以了解老年患者手术干预增加的驱动因素.

关键词:

费用费用费用费用费用费用费用偏半径骨折偏半径骨折偏半径骨折偏半径骨折流行病学流行病学医疗保健利用率医疗保健利用率

更多相关视频

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

相关概念视频

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...